Provider Checklists

Check It - checkmark in checkbox

Want to avoid hold-ups caused by missing information in service requests? Check out our Provider Checklists. These handy reference lists will help you determine at a glance all the information required for each service type. Don't be stuck retrieving information twice! Use the checklists for once-and-done submission!

To view a document and then save it:
Click on the link in the document list to view the document in your browser. From the menu at the top of the browser, select FILE - SAVE AS to navigate to the folder in which you wish to save the document. Then save it.
To save the document without opening it:
Right-click the link in the document list and select "Save target as". Navigate to the folder in which you wish to save the document. Then save it.

TitleDescriptionFile SizeFile Type
Computed Tomography (CT) Abdomen 607 KB.pdf
Computed Tomography (CT) Abdomen and Pelvis 615 KB.pdf
Computed Tomography (CT) Brain 556 KB.pdf
Computed Tomography (CT) Cervical Spine 511 KB.pdf
Computed Tomography (CT) Chest-Cardiac 544 KB.pdf
Computed Tomography (CT) Colon 549 KB.pdf
Computed Tomography (CT) Extremity 549 KB.pdf
Computed Tomography (CT) Kidney 548 KB.pdf
Computed Tomography (CT) Lumbar Spine 558 KB.pdf
Computed Tomography (CT) Neck 546 KB.pdf
Computed Tomography (CT) Orbit 406 KB.pdf
Computed Tomography (CT) Sinuses 509 KB.pdf
Computed Tomography Angiogram (CTA) Coronaries 410 KB.pdf
Magnetic Resonance Angiogram (MRA) Brain 552 KB.pdf
Magnetic Resonance Cholangiopancreatography (MRCP) 509 KB.pdf
Magnetic Resonance Imaging (MRI) Abdomen 510 KB.pdf
Magnetic Resonance Imaging (MRI) Ankle 555 KB.pdf
Magnetic Resonance Imaging (MRI) Brain 620 KB.pdf
Magnetic Resonance Imaging (MRI) Breast 510 KB.pdf
Magnetic Resonance Imaging (MRI) Cervical Spine 606 KB.pdf
Magnetic Resonance Imaging (MRI) Elbow 550 KB.pdf
Magnetic Resonance Imaging (MRI) Foot 556 KB.pdf
Magnetic Resonance Imaging (MRI) Hip 550 KB.pdf
Magnetic Resonance Imaging (MRI) Knee 565 KB.pdf
Magnetic Resonance Imaging (MRI) Lumbar Spine 604 KB.pdf
Magnetic Resonance Imaging (MRI) Neck 514 KB.pdf
Magnetic Resonance Imaging (MRI) Orbit 404 KB.pdf
Magnetic Resonance Imaging (MRI) Pelvis 514 KB.pdf
Magnetic Resonance Imaging (MRI) Pituitary 692 KB.pdf
Magnetic Resonance Imaging (MRI) Shoulder 555 KB.pdf
Magnetic Resonance Imaging (MRI) Thoracic Spine 510 KB.pdf
Magnetic Resonance Imaging (MRI) Wrist 553 KB.pdf
Nuclear Stress Test-Thallium-Technetium-Sestamibi 678 KB.pdf
Positron Emission Tomography (PET) Whole Body 558 KB.pdf
Ultrasound (US) Abdomen 609 KB.pdf
Ultrasound (US) Pelvis 602 KB.pdf
Ultrasound (US) Scrotum 501 KB.pdf
Ultrasound (US) Transrectal 511 KB.pdf

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