If you are submitting authorization requests for the following services, we recommend you use RadMD.com, a user-friendly, real-time automated tool offered by Magellan Healthcare:
- Radiology
- Radiation oncology
- Musculoskeletal surgery and pain pumps
- Outpatient left heart catheterization/Implantable devices
- Interventional pain management
RadMD, a secure website available 24/7,* is an easy-to-navigate resource for both ordering and rendering providers as well as imaging facilities.
Ordering and rendering providers can:
- View up-to-the-hour authorization information, including:
- Date request initiated
- Date procedure approved
- Authorization validity period
- Valid billing (CPT®) codes, and more
- Upload clinical documentation directly to RadMD
- Access evidence-based clinical review criteria
- Get technical support if you have questions
On the website, ordering physicians also have access to:
- Clear instructions for submitting procedure requests, including the ability to submit multiple requests in the same online session
- Appropriate ICD-10 code lookup
- Continuous updates on authorization status allowing the user to view all notifications for a case
- Fast authorization decisions
- Search and select convenient imaging facilities
- Upload clinical documentation
- View the clinical information that was received
- Receive email notification of the final authorization decision
Imaging facilities:
Can quickly view approved authorizations for their patients so prompt service can be provided.
Go to RadMD.com to set up an account. If you need help, please call 1-800-327-0641.
*RadMD.com is available 24/7, except during bi-weekly maintenance periods that are conducted after hours.
