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| QUALIFICATIONS | ||||||||||||||||
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                We 
                will need the following information to pre-certify all breast 
                MRI's. 
 1. Patient demographic sheet. 2. Copy of insurance card. 3. Order to state bilat breast w/wo contrast with diagnosis. 4. 
                Copy of all breast reports (mammo, US ) for the last year. Please fax the following information to 850-215-4045 attn: pre-cert Once we have certified the procedure with the patients insurance we will call the patient to schedule the appointment. | ||||||||||||||||
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