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BREAST HISTORY QUESTIONNAIRE Name: Date: DOB: Age: Phone/Cell: Why are you requesting a breast evaluation? Please check all that apply and tell us more on the space below. Routine Check (If you have

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What is image-guided breast biopsy scheduling pre-certification?

Image-guided breast biopsy scheduling pre-certification is a process where a healthcare provider obtains approval from a patient's insurance company before scheduling a biopsy procedure.

Who is required to file image-guided breast biopsy scheduling pre-certification?

Healthcare providers and facilities performing image-guided breast biopsies are required to file for pre-certification.

How to fill out image-guided breast biopsy scheduling pre-certification?

Healthcare providers need to submit specific information about the patient, the procedure, and the medical necessity of the biopsy.

What is the purpose of image-guided breast biopsy scheduling pre-certification?

The purpose of pre-certification is to ensure that the procedure is medically necessary and covered by the patient's insurance.

What information must be reported on image-guided breast biopsy scheduling pre-certification?

Patient information, medical history, procedure details, and the reason for the biopsy must be reported on the pre-certification form.

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