Imaging Auth Checklist

Select the payer and imaging type to see what's required.

  • Gathered3 of 6BCBS, MRI
  • PayerBCBS
  • Imaging typeMRI
  • Session started9:42 amDana R.
  • Clinical notes from ordering physicianChecked at 9:43 amChecked
  • Prior conservative treatment documentationChecked at 9:44 amChecked
  • Relevant imaging or lab resultsChecked at 9:46 amChecked
  • CPT and ICD-10 codes confirmedNot yet checkedUnchecked
  • Patient insurance verification completedNot yet checkedUnchecked
  • Referring provider NPI and signature on fileNot yet checkedUnchecked

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