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Required radiology authorization information

For each request for prior authorization of high-tech diagnostic radiology services, American Imaging Management (AIM) will require:
  • Patient information: Name, DOB, contract number from the patient's Priority Health ID card
  • Ordering physician's name and address
  • Imaging provider name and address
  • Type of service and CPT code if available
  • Reason (indication) for the imaging procedure, and/or ICD-9 CM diagnosis code
  • Patient's clinical symptoms, including intensity and duration
  • Name and results of relevant previous studies (labs, x-rays, etc.)
  • Name, type, and duration of relevant previous therapies/treatment, if any

How does AIM process requests?

See review process details here.
Last modified: 4/14/2011
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