Exceeding your expectations is our goal - plain and simple. At NIA, we understand that when you're successful, we're successful. As your trusted partner, we work along with you to identify new trends, new tools, and new opportunities. And we do all of this through our powerful, flexible, customized solutions that are focused specifically on your individual needs for the optimization of specialty health care management.
Backed by Magellan Health Services, NIA has unparalled financial, technological, and talent resources that other radiology benefit managers can't match. As a business fully dedicated to your specific needs within the specialty health care marketplace, you'll find an exceptional level of service, including a dedicated team, assigned to work with you and your business partners.
Below is a sampling of what you can expect from NIA:
From provider networks to claim processing, we offer multiple options, so you can tailor our services to fit your needs - and the needs of your customers.
- Do you want to work within your existing network to re-contract according to our privileging guidelines? No problem.
- Would you like us to negotiate and develop a network of high-quality accredited providers for you? We can do that.
- Is your preference for us to integrate with your existing claims processing system, or for us to set up a separate adjudication process for imaging services? You name it and we'll make it happen.
We'll use your name and brand to communicate with your consumers. We can even link our online services - including our innovative consumer education content and resources - directly through your Web site, making for a seamless and transparent consumer experience. Your relationship with your consumers belongs to you; our job is to help you enhance it in a way that achieves your business objectives and also maximizes member satisfaction.
Ease of Implementation
As a pioneer in radiology benefits management, we bring nearly two decades of experience to each and every customer interaction. We've worked with virtually every type of claims system and third party network, and we have the expertise and resources necessary to complete a large-scale implementation seamlessly and smoothly.
Efficiency & Accuracy
Our team of clinical experts and our industry-leading technology combine to enhance the efficiency and accuracy of all stages of the management process:
Peer-to-Peer Consultations: With the industry's most experienced clinical team, we stay on top of the latest techniques and technologies to share best practices with you and your providers. You'll find clinical experts in key leadership positions at NIA as well as nurses and board-certified physicians in our call centers. No procedure is ever denied without a peer-to-peer consult with one of our board-certified physicians.
Clinical Algorithms: When it comes to evaluating and authorizing services, our clinical algorithms are built on the industry's most comprehensive clinical database. Using these proprietary algorithms, we help speed the medical necessity review process while filtering each request through tried and true best practices for care.
Highly Acclaimed Call Center & RadMD.com: Through our highly acclaimed call center and online provider portal, RadMD.com, we consistently and efficiently manage inquiry volumes and workloads to deliver excellent customer service to you and your providers. Staffed with nurses and board-certified physicians, who have access to the latest information technologies and clinical algorithms, our phone and online medical necessity review process is fast, accurate and resourceful.
Award-Winning Customer Dashboard: Through NIA's Customer Dashboard, you have convenient access to real-time information, such as call center volume, how patients are being served and the effectiveness of your program. In 2008, we received an American Business "Stevie" Award for this user-friendly Web tool.
It's no wonder that nearly two-thirds of service authorizations are processed within just a few minutes - before the patient even leaves the physician's office - with a single phone call or online inquiry. Plus, 92% of all authorizations are completed within 24 hours.
For more information about putting our award-winning service to work for you, your providers and your members, please