Peach State has partnered with National Imaging Associates, Inc. (NIA) to implement a radiology benefit management program. The high-tech radiology management program is on schedule to begin on August 2, 2010 for the following non-emergent outpatient radiology procedures:

• CT / CTA
• MRI / MRA
• PET Scan

Effective August 2, 2010, providers should contact NIA (click here) to obtain authorization for the services referenced above. Should you have questions at this time, please contact your Provider Relations representative at 866-874-0633.

Welcome to our new website. We have enhanced our website to provide you and your staff with the appropriate tools to provide the highest quality of care to our members. To find out more about the programs and services available to our members please visit the Stay Healthy section.

Become a Provider We partner with physicians, hospitals and other providers to ensure that each member gets the right care, at the right time, in the right setting. In this section you will find the contract request and credentialing forms.

Electronic Transactions Spend less time on the phone or standing at the fax machine. Our electronic transaction (EDI and secure web portal) capabilities will save you time and money while producing faster results.

Pharmacy Our pharmacy program provides access to pharmaceutical services to our members and educates providers on improving the quality of patient care. To learn more read our FAQs. You will also find pharmacy enrollment forms.

QAPI The QAPI Program is to address both the quality and safety of services provided to Peach State's members. We follow HEDIS standardized performance measures and adopt clinical practice guidelines.

Resources Our resources section contains forms (including: claims, member data and delivery notification), helpful website links, general information and billing guides.