Welcome to the MedSolutions home for new program implementations.
At this site, you will find information about our clients’ new programs. Please choose the appropriate link below for more information.
Aetna National Cardiology
Aetna Sleep Management
Blue Cross Blue Shield of Delaware
Coventry Health Care
Health Choice Arizona
HealthSpring
MO HealthNet
Neighborhood Health Plan of Rhode Island
Oklahoma Health Care Authority
Vermont Medicaid
MedSolutions highly recommends providers take full advantage of the online capabilities at medsolutionsonline.com. Here you can request prior authorization, review our nationally accepted evidence-based clinical guidelines and receive announcements about program updates. Access requires only your e-mail address and a brief registration. Please see the attached for registration instructions
MedSolutions will provide notice of authorization via fax to the contact and number supplied to MedSolutions at the time of request. Please click the link below to view a sample authorization.
MedSolutions maintains evidence-based, clinical guidelines to evaluate CT, MR, PET, ultrasound and cardiac imaging. The basic philosophy behind our criteria is to seek the best imaging procedure for each patient at the most appropriate time in the diagnostic and treatment cycle. MedSolutions’ guidelines are driven by patient symptoms and clinical indications, not by procedures requested.
Our guidelines are based on nationally accepted radiology protocols, clinical evidence, and actual experience with our clients. Our guidelines are designed to promote respectful, thoughtful discussion and negotiation with the referring physician; to ensure consistent case reviews; and to initiate proactive information sharing and serve as an educational tool for referring physicians.
These guidelines are not intended to supersede or replace sound medical judgment but instead should facilitate the identification of the most appropriate imaging procedure given the patient’s clinical condition. Please click the link below to view MedSolutions evidence based clinical guidelines.
