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PET/CT Written Order Form To schedule PET/CT studies please Call: 18662584PET (4738) or Fax: 16176038004 **ATTLEBORO, MA at STURDY MEMORIAL HOSPITAL Tax ID#: # 364819685 BOSTON, MA at TUFTS MEDICAL
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How to fill out pet ct prior authorization

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How to fill out pet ct prior authorization

01
Contact your insurance provider to determine if prior authorization is required for a PET CT scan.
02
Ensure that the referring physician has provided all necessary information and documentation to support the medical necessity of the procedure.
03
Submit the completed prior authorization request form along with any supporting documents to the insurance company.
04
Follow up with the insurance company to confirm that the authorization has been approved before scheduling the PET CT scan.

Who needs pet ct prior authorization?

01
Patients who are covered by insurance plans that require prior authorization for medical procedures such as PET CT scans.
02
Healthcare providers who are responsible for ordering and performing PET CT scans on their patients.
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PET CT prior authorization is a process where a healthcare provider obtains approval from an insurance company before conducting a PET CT scan.
Healthcare providers such as doctors, hospitals, and imaging centers are required to file PET CT prior authorization.
To fill out PET CT prior authorization, healthcare providers must submit the necessary medical information, such as patient demographics, clinical history, and reason for the scan, to the insurance company.
The purpose of PET CT prior authorization is to ensure that the scan is medically necessary and meets the insurance company's coverage criteria.
The information that must be reported on PET CT prior authorization includes patient demographics, clinical history, ordering physician information, reason for the scan, and any relevant medical records.
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