| PAYER | NAME | LINK | |||||||
| Aetna MA only | Medsolutions online | https://www.medsolutionsonline.com/portal/server.pt/community/medsolutions_online/223 | |||||||
| Aetna All states | 2009 Aetna Participating Providers List | http://www.aetna.com/provider/medical/resource_med/coverage_med/precertification_policy_att_a12-12.html | |||||||
| BMC HealthNet Plan | BMC HealthNet | http://www.bmchp.org/pages/home.aspx | |||||||
| Massachusetts BlueCross/BlueShield (BCBSMA) HMO & POS | AIM | http://www.americanimaging.net/ | |||||||
| Anthem BC/BS CT/ME/NH/CO/NV/CA | AIM | http://www.americanimaging.net/ | |||||||
| Rhode Island, Delaware, and Tennesse BCBS | BCBS of RI - 3 ways to obtain Prior Auth | https://www.bcbsri.com/BCBSRIWeb/pdf/3_Ways_Prior_Authorization121707.pdf | |||||||
| BlueCross/BlueShield (all other states) Information depends on the state. | |||||||||
| CIGNA HMO Info confirmed for MA - varies by state | Medsolutions online | https://www.medsolutionsonline.com/portal/server.pt/community/medsolutions_online/223 | |||||||
| CIGNA Carelink Members Updated 7/1/09 | CIGNA - For Health care Professionals | https://cignaforhcp.cigna.com/corp/portal/app/provider/public/guest | |||||||
| Connecticare | NIA website | http://www.radmd.com/ | |||||||
| Fallon Community Healthplan | Medsolutions online | https://www.medsolutionsonline.com/portal/server.pt/community/medsolutions_online/223 | |||||||
| Harvard Pilgrim Health Care (HPHC) | NIA website | http://www.radmd.com/ | |||||||
| (HPHC) Choice and Choice Plus with Passport Connect | United Healthcare | www.unitedhealthcareonline.com | |||||||
| (HPHC) Choice and Choice Plus with Passport Connect | NIA website | http://www.radmd.com/ | |||||||
| Health New England | NIA website | http://www.radmd.com/ | |||||||
| GIC (Commonwealth Indemnity Plan) Group #131192 | Managed Care Notification Requirements for Non-Medicare Members | http://www.unicare-cip.com/mcrecsbasicplus.html | |||||||
| GIC (Commonwealth Indemnity Plan) Group #131192 | Unicare State Indemnity Plan | http://www.unicarestateplan.com/ | |||||||
| Great-West Healthcare | Medsolutions online | https://www.medsolutionsonline.com/portal/server.pt/community/medsolutions_online/223 | |||||||
| Maine Medicaid | Schaller-Anderson - An Aetna company | http://www.schalleranderson.com/Home.aspx | |||||||
| MassHealth Medicaid | Mass Health Prior Authorization form | https://www.masshealth-apas.com/dma/PAForms.asp | |||||||
| New Hampshire Medicaid | CPT list | http://www.mynewhampshirecare.com/PDFs/Prior_Auth_CPT_Codes_Imaging.pdf | |||||||
| New Hampshire Medicaid | Schaller-Anderson - An Aetna company | http://www.mynewhampshirecare.com/ | |||||||
| New Hampshire Medicaid | Schaller-Anderson -Prior Auth forms list | http://www.mynewhampshirecare.com/providers_medical.aspx | |||||||
| New Hampshire Medicaid | Schaller-Anderson -Prior Auth form | http://www.mynewhampshirecare.com/PDFs/272X_Diag_Imaging.pdf | |||||||
| Neighborhood Health Plan (NHP) | Medsolutions online | https://www.medsolutionsonline.com/portal/server.pt/community/medsolutions_online/223 | |||||||
| Network Health | Medsolutions online | https://www.medsolutionsonline.com/portal/server.pt/community/medsolutions_online/223 | |||||||
| Tricare Prime Tricare (formerly Champus) (TRICARE smart - website) | Tricare Authorization & Referrals Tools | https://www.hnfs.net/provider/authorizations/Auth_Referral_New.htm | |||||||
| Tufts Health Plan (THP) in NH/MA/RI (HMO, POS, & PPS) | NIA website | http://www.radmd.com/ | |||||||
| United Healthcare (UHC) | United Healthcare | https://www.unitedhealthcareonline.com/b2c/CmaAction.do?channelId=12f8c7958f5fa010VgnVCM100000c5 | |||||||
| Unicare | |||||||||
| Unicare (American Imaging) | AIM | http://www.americanimaging.net/ | |||||||