Monday, 23 July 2012

Aetna has joined with MedSolutions to provide Radiology authorizations for PPO members in Kentucky

Effective from December 15, 2010 MedSolutions is the administrator of radiology management program for Aetna patients in Network-based (other than HMO-based) health benefits plans where applicable in Kentucky area.

Services require prior authorization
  • All outpatient CT scans (including CTA)
  • Nuclear cardiology
  • Stress echocardiography
  • Diagnostic right and left heart catheterization
  • PET scan studies
Services do not require prior authorization
  • Imaging procedures performed during Inpatient admission
  • Emergency room visit
How can we request prior authorization from MedSolutions?

We can request authorization in three ways as below.
  • Website       -        Request can be made through web portal (registration required)
  • Phone                   -        888-693-3211 (Monday to Friday at 8.00AM to 9.00PM EST)
  • Fax              -        Fax requests needs to be sent at 888-693-3210 (Fax forms available at MedSolutions web portal)
Authorization will be processed within two business days after their review and it will be faxed to ordering physician and approved facility.


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