Friday, 10 August 2012

Delaware Physicians Care has partnered with MedSolutions to provide authorization for Radiology services

Delaware Physicians Care is An Aetna Medicaid Plan requires prior authorization for all outpatient elective CT, MR, and PET imaging studies from MedSolutions beginning with date of service March 1, 2011

Services require prior authorization

All outpatient, non-emergent, diagnostic imaging services including:
  • CT
  • MR
  • PET
Services do not require prior authorization
  • Inpatient radiology
  • Radiology testing done in the Emergency Room
  • 23 hour observation
What we need to request prior authorization
  • The patient’s name & address
  • The current Member ID
  • The working or differential diagnosis
  • Prior tests, lab work and/or imaging performed related to this diagnosis
  • Notes from the patient’s last visit related to the diagnosis
  • Type and duration of treatment performed to date for the diagnosis

How can we request prior authorization from MedSolutions?

We can request prior authorization from MedSolutions in three methods as below

  • Website       - (one time registration required)
  • Phone                   -        888-693-3211 (Monday to Friday @ 8AM to 9PM)
  • Fax              -        888-693-3210(fax forms available in MedSolutions web portal)

Authorization will be faxed to ordering physician and rendering facility.


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