Diagnostic Outpatient Order Form
CPT Codes: CT and X-Ray
CPT Codes: MRI/MRA and Ultrasound
ACR Appropriateness Criteria®
These evidence-based guidelines assist referring physicians and other providers in making the most appropriate imaging or treatment decision for a specific clinical condition. Click here.
Precertification Web Portal Information
Anthem
AIM (American Imaging Management)
http://www.americanimaging.net
Phone: (847) 564-8500
Fax: (773) 864-4601
Hours: Mon-Fri | 8am - 5pm CST
Cigna
NIA (National Imaging Associates)
http://www1.radmd.com
Phone: (866) 214-1703
Hours: Mon-Fri | 5am - 12pm EST
Saturday | 8am - 1pm EST
Harvard Pilgrim
NIA (National Imaging Associates)
http://www1.radmd.com
Phone: (800) 642-7543
Hours: Mon-Fri | 5am - 12pm EST
Saturday | 8am - 1pm EST
NH Medicaid
Schaller Anderson
Phone: (566) 499-9335
Fax: (866) 499-9334
Hours: Mon-Fri | 8am - 4:30pm
Contact a CIC Representative
Concord Imaging Center radiologists are available each and every day from 6am - 9pm to assist you in determining the most appropriate study for your patient. Please call Concord Hospital's main line at (603) 227-7000 and request the radiology department through the hospital operator. For matters not requiring an immediate response, you can send an email to office@xpamedical.com.
Requests
To request patient reports physicians can call Concord Hospital at (603) 227-7000 and request to speak with the hospital film library.
