CommercialPrior AuthMedium impact
23-777 Reminder: Use NIA and Save Time With Advanced and Cardiac Imaging Authorizations
Health Net·CA · Cardiology, Diagnostic Imaging, Radiology·Prior Authorization
Effective date
Jul 28, 2023
We identified it
Jun 20, 2026
Summary
HealthNet California has updated their imaging authorization policy to streamline the process. Echocardiograms no longer require authorization through NIA (National Imaging Associates), while advanced and cardiac imaging authorizations can still be processed through NIA to save time.
Action Required
Immediately: Billing team must stop requiring prior authorization for echocardiogram procedures for HealthNet California patients. Update billing system rules to remove authorization requirements for echocardiograms. Continue using NIA for other advanced and cardiac imaging authorizations to expedite the process.