Relax - Holmdel Imagingholmdelimaging.com/wp-content/uploads/2015/01/...Relax How to get Imaging...

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(732) 671-6618 100 Commons Way Suite 100, Holmdel, NJ 07733 www.holmdelimaging.com Relax How to get Imaging Authorizaons: 1. Fill out the registraon form on the reverse side (first me only). 2. Preauthorizaon form must be filled out for every paent/exam to be authorized. 3. Informaon Needed: Prescripon, Insurance Card , Addional clinical notes/previous exams, if necessary 4. Fax completed forms, prescripon, insurance card, and any addional informaon, if needed, to 732-671-6902. 5. Once the authorizaon is obtained we will call you and advise when the paent is scheduled for their exam. Give us a call to learn how we can help with your authorizaon needs! Need Assistance with Authorizaons? Save yourself valuable me! Let us schedule your paent appointments AND obtain the required authorizaons for you! Our team at Holmdel Imaging is able to obtain the needed authorizaons for most insurance carriers in our network!

Transcript of Relax - Holmdel Imagingholmdelimaging.com/wp-content/uploads/2015/01/...Relax How to get Imaging...

Page 1: Relax - Holmdel Imagingholmdelimaging.com/wp-content/uploads/2015/01/...Relax How to get Imaging Authorizations: 1. Fill out the registration form on the reverse side (first time only).

(732) 671 -6618 100 Commons Way Suite 100, Holmdel , NJ 07733 www.holmdelimaging.com

Relax

How to get Imaging Authorizations: 1. Fill out the registration form on the reverse side (first time only). 2. Preauthorization form must be filled out for every patient/exam to be authorized. 3. Information Needed: Prescription, Insurance Card , Additional clinical notes/previous exams, if necessary 4. Fax completed forms, prescription, insurance card, and any additional information, if needed, to 732-671-6902. 5. Once the authorization is obtained we will call you and advise when the patient is scheduled for their exam. Give us a call to learn how we can help with your authorization needs!

Need Assistance with Authorizations? Save yourself valuable time! Let us schedule your patient appointments AND obtain the required authorizations for you! Our team at Holmdel Imaging is able to obtain the needed authorizations for most insurance carriers in our network!

Page 2: Relax - Holmdel Imagingholmdelimaging.com/wp-content/uploads/2015/01/...Relax How to get Imaging Authorizations: 1. Fill out the registration form on the reverse side (first time only).

100 Commons Way Suite 100, Holmdel, NJ 07733 P: 732.671.6618

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