Prior Authorization for Radiology Practices

ConsultStar supports radiology practices and imaging centers with prior authorization for advanced diagnostic studies. Many payers require authorization for MRI, CT, PET, and other high-cost imaging, and the criteria can vary significantly by plan.

We manage the authorization process using the clinical information available in your system, helping reduce delays that affect scheduling and patient care.

Common Radiology Services We Support

• MRI (brain, spine, joints, abdomen/pelvis)

• CT scans

• PET imaging

• Nuclear medicine studies

• Ultrasound and other advanced imaging when authorization is required

How We Help

• Confirm payer requirements and medical necessity criteria

• Compile supporting documentation from referring providers

• Submit and track authorization requests

• Assist with documentation review when practices use AI tools within their EHR or radiology information system

Our on-shore team works with both freestanding imaging centers and hospital-based radiology departments. Reach out to learn how we can support your current authorization workflow.