My practitioner has mentioned NIA. What is NIA and what is the relationship to me?
NIA is a provider network organization. A variety of payers including health plans, PPO’s, HMO’s and others contract with NIA to provide certain specialty practitioner panel(s) for their enrollees. NIA manages networks of chiropractors, acupuncturists, massage therapists, physical therapists, occupational therapists, and speech therapists. Your health plan may access one or more of these specialty networks. NIA manages these provider networks by assessing & approving providers for participation based on their credentials and providing utilization management, quality management and claims processing services.
Which practitioners should I go to for my highest benefit level?
Contact your health plan as identified on your identification card to inquire which practitioners in your area are considered in-network. Practitioner networks vary by plan and the plan accesses Magellan network providers only for certain specialties.
What services and supplies are covered through NIA?
Contact your health plan as identified on your identification card to inquire which services and supplies are covered under your plan. You should do this prior to your visit to your practitioner if you are unsure. Benefits for coverage vary widely amongst plans and NIA does not have or provide information on benefits or your eligibility.
Should I contact NIA if I have a question with my claim payments?
No, your coverage and payment determinations are made by your health plan as identified on your insurance identification card. If you have questions about Explanation of Benefits you received from your health plan, you should contact them directly as identified on your identification card.