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Radiology Management Program Information

National Imaging Associates, Inc. (NIA), an affiliate of Magellan Health, Inc., provides utilization management services for non-emergent, high-tech outpatient radiology services rendered to members enrolled in Mountain State commercial health plans, including Super Blue Plus PPO, Super Blue Select Point of Service (POS), Steel, West Virginia Small Business Plan (WVSBP) and HHIC Freedom Blue Medicare Advantage Plan. The requirements will be waived for Mountain State's Traditional Indemnity product, Bluecard and the Federal Employee (FEP) program.

The NIA and Highmark West Virginia agreement is consistent with industry-wide efforts to coordinate the increasing utilization of these services and to ensure quality care for all Mountain State members. NIA is NCQA and URAC accredited and offers our participating providers a program that supports standard protocols and offers the expertise of peer physicians.

For questions, or additional information not addressed in this section, please contact the Provider Service Center.

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Last updated on 6/14/2017 2:29:33 PM

 

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Highmark Blue Cross Blue Shield serves the 29 counties of western Pennsylvania and 13 counties of northeastern Pennsylvania. Highmark Blue Shield serves the 21 counties of central Pennsylvania and also provides services in conjunction with a separate health plan in southeastern Pennsylvania. Highmark Blue Cross Blue Shield West Virginia serves the state of West Virginia plus Washington County. Highmark Blue Cross Blue Shield Delaware serves the state of Delaware. Highmark Western and Northeastern New York Inc., serves eight counties in Western New York under the trade name Highmark Blue Cross Blue Shield of Western New York and serves 13 counties in Northeastern New York under the trade name Highmark Blue Shield of Northeastern New York. Each of these companies is an independent licensee of the Blue Cross Blue Shield Association. Blue Cross, Blue Shield and the Blue Cross and Blue Shield symbols are registered marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. All references to “Highmark” in this document are references to the Highmark company that is providing the member’s health benefits or health benefit administration.