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Tuesday, 10 July 2012

Amerigroup Washington Radiology Authorization Program

Effective from July 1, 2012 Amerigroup Washington has contracted with MedSolutions to provide radiology authorization for members residing in Washington covered under Healthy Options and Basic Health programs.
MedSolutions provide prior authorization for all outpatient elective CT, MR, PET, and Nuclear Cardiac Imaging studies.

Services require authorization:
  • CT/CTA
  • MRI/MRA
  • PET
  • NCM
  • High tech imaging studies performed in
  • Outpatient
  • Elective/Non-emergent
  • Diagnostic
Authorization does not require for high-tech imaging studies when performed in:
  • Emergency Rooms
  • Inpatient Settings
  • 23-hour observations
We can request authorization in three ways as below:
  • Website       -        We can request authorization by registering with www.medsolutionsonline.com
  • Phone          -        We can request authorization by calling 888-693-3211 (5.00 AM to 6.00 PM PST on Monday to Friday)
  • Fax              -        We can send our fax request to 888-693-3210 (Only MedSolutions fax forms are accepted)
What we need to request authorization?
  • Member ID
  • Member Name
  • Member Date of birth
  • Ordering Physician name
  • National Provider Identifier (NPI)
  • Tax Identification Number (TIN)
  • Fax number
  • Rendering facility name
  • Facility NPI
  • Facility TIN
  • Facility street address
How the provider receive authorization?

All the authorization requests will be processed within 2 business days upon their review then the authorization send to referring/ordering physician through fax.

Also authorization confirmation letter available in MedSolutions web portal to print at our end anytime.

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