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Pre-certification
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QUALIFICATIONS

 

We will need the following information to pre-certify all breast MRI's.

1. Patient demographic sheet.

2. Copy of insurance card.

3. Order to state bilat breast w/wo contrast with diagnosis.

4. Copy of all breast reports (mammo, US ) for the last year.
 

Please fax the following information to 850-215-4045 attn: pre-cert

Once we have certified the procedure with the patients insurance we will call the patient to schedule the appointment.