In 2004, Harvard Pilgrim entered an arrangement with National Imaging Associates, Inc. (NIA)* to administer a radiology notification and consultation program for non-emergency, outpatient advanced imaging services. Effective April 1, 2010, Harvard Pilgrim is revising this program by implementing medical necessity review for certain non-emergency, outpatient advanced imaging services. Please refer to the following documents for answers to frequently asked questions about the program updates.
* NIA is a nationally recognized, NCQA and URAC-accredited
radiology benefits management company.
Questions? Call the Provider Service Center at
800-708-4414, option 5.