...Nurse Advice Line. Advanced Imaging Prior Authorization Ordering physicians must obtain prior authorization for the following outpatient, non-emergent diagnostic imaging procedures: MRI/MRAs CT/CTA scans PET scans Ordering providers can obtain...

...an independent review entity to review the decision. Treating Physician Certification for Experimental/Investigational Adverse Benefit Determinations Form – Use this form to certify that an experimental and/or investigational drug, device,...

...qualify for an exception because of your unique medical needs, you or your physician should contact us and ask for a coverage determination. Please note: If your pharmacy tells you...

...you, your appointed representative or your physician may request an organization determination. Full details on organization determination requests can be found in the Evidence of Coverage (EOC) (Chapter 9, section...

...Medical Association and in 2002 the AOMA established the James E Zini, D.O. “Young Physician Award” given to young physicians for significant contributions to the osteopathic profession. Throughout his career...