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Only Covered Services Will Be Paid - Molina Healthcare
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Referring Physician Ordering Guide: What To Order When
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Authorization Requirements By Product - Provider Central
Authorization Requirements by Product (rev. 6/18) 1 of 7 Authorization requirements by product service type, “MRI/CAT Scan.” If the MRI/CAT Scan row in your results indicates that authorization is required, you must request a treatment episodes without prior authorization; ... Doc Viewer

Developing A Clinical Guideline For CT Scans In Closed Head ...
Patients who have already had a negative CT scan generally do not get a repeated scan, — even if the Developing a Clinical Guideline for CT Scans in Closed Head Injury involved also excludes patients without an intracranial lesion and therefore, ... View Doc

Fredericksburg, VA 22403-9515 Claim Number: Loss Date ...
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Services Covered By Molina Healthcare
Services Covered by Molina Healthcare. 12-month period without PA. PA is required to get services after 30 visits in a 12-month period. Diagnostic services (x-ray, lab) Selected diagnostic services (including CT Scans, ... Visit Document

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PATIENT PREP INSTRUCTIONS - Stanford Health Care (SHC)
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Imaging CPT Code Reference Sheet Studies
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HEAD IMAGING GUIDELINES - EviCore
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IPad (4th Generation) - Wikipedia
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Important Disclosure Information
Important Disclosure Information Aetna Medicare SM Plan (HMO) and If you do not get a referral when a referral is required, you may have to pay the bill yourself, • In plans without out-of-network benefi ts, ... Read Here

Imaging Guidelines: Lumbar Spine MRI February 12, 2010
Imaging Guidelines: Lumbar Spine MRI February 12, 2010 *For low velocity trauma, ACR Guidelines do not support use of NUC Tc-99m bone scan with SPECT, MRI with and without contrast, myelography and postmyelography CT, or x-ray myelography ... Read Here

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Radiology Procedures Requiring Precertification For EviCore ...
Radiology Procedures Requiring Precertification for eviCore healthcare Arrangement Page 1 of 13 Computerized Axial Tomography (CAT) scan with or without digitization of film radiographic images, chest radiograph(s), ... Access This Document

Computed Tomography Scanning For Lung Cancer Screening
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Pre-Authorization Requirements: Radiology Services
Pre-Authorization Requirements: Radiology Services As part of ConnectiCare's Pre-authorization program, certain radiology services require pre-authorization ... Visit Document