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Wednesday, 8 August 2012

Scan Health Plan of Arizona has partnered with MedSolutions to provide authorization for Radiology services

Effective from January 1, 2012 all outpatient elective CT, MR, PET, and Outcomes Focused Cardiology Imaging studies require prior authorization from MedSolutions for Scan Health Plan members residing within the state of Arizona.

Services require prior authorization

All outpatient, non-emergent, diagnostic imaging services including:
  • CT/CTA
  • MRI/MRA
  • PET
  • NCM/MPI
  • Echo/Stress Echo
  • Diagnostic Heart Cath
Services do not require prior authorization
  • Inpatient radiology
  • Radiology testing done in the Emergency Room
  • 23 hour observation
How can we request prior authorization from MedSolutions?

We can request authorization in three ways as below
  • Website       -        www.medsolutionsonline.com (registration required)
  • Phone          -        888-693-3211 (Monday to Friday @ 7.00 AM to 8.00 PM CST)
  • Fax              -        888-693-3210 (fax forms available at MedSolutions web portal)
What we need to request authorization from MedSolutions?
  • The patient’s name & address
  • The current Member ID
  • The procedure code and working or differential diagnosis code
  • 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 
Authorization number will be faxed to ordering physician and requesting facility.

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