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Friday, 10 August 2012

Health Choice Arizona has partnered with MedSolutions to provide authorization for Radiology services

All outpatient elective MR, CT, Outcomes Focused Cardiology, PET, and Ultrasound studies require prior authorization from MedSolutions beginning with date of service May 1, 2010

Services require prior authorization

All outpatient elective, non-emergent, diagnostic imaging services including:
  • CT
  • MR
  • Outcomes Focused Cardiology
  • PET
  • Ultrasounds including OB
Services do not require prior authorization
  • Inpatient radiology
  • Radiology testing done in the Emergency Room
  • 23 hour observation
What we need to request authorization from MedSolutions?
  • 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 authorization?

We can request authorization from MedSolutions in three ways as below
  • Website       -        www.medsolutionsonline.com (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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