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Wednesday, 8 August 2012

Select Health of South Carolina has partnered with MedSolutions to provide authorization for Radiology services

Effective from April 1, 2011, select MR, CT, PET, and Nuclear Cardiology services require prior authorization from MedSolutions.

Services require prior authorization

All outpatient, non-emergent, diagnostic imaging services including:
  • CT
  • MR
  • PET
  • Nuclear Cardiology
  • OB Ultrasound
Services do not require prior authorization
  • Inpatient radiology
  • Radiology testing done in the Emergency Room
  • 23 hour observation
  • SPU
How can we request prior authorization from MedSolutions?

We can request authorization in three ways as below
  • Website       -        www.medsolutionsonline.com (registration required)
  • Phone          -        800-572-1981 (Monday to Friday @ 8.00 AM to 9.00 PM EST)
  • 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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