Precertification Services

Children’s is pleased to provide precertification services for Radiology procedures requiring prior authorization. If your practice will furnish us the necessary information, our team of insurance verifiers will attempt to obtain any required authorization on behalf of Children’s. Precertification is available to all physicians and their patients and seeks to make ordering of outpatient radiology exams simple, with the goal of treating pediatric patients in an environment specifically tailored to their imaging needs.

Getting Started
When the physician practice registers for this service, Children’s will collect the information generally needed to request authorizations. This will help ensure the patients receive their imaging studies in a timely manner.  To sign up, please download and complete the Radiology Precertification Services Registration form.  What we need to get started:

  • Names of practice physicians, physician assistants and nurse practitioners
  • National provider identification (NPI) for each physician
  • Practice manager contact information
  • Tax ID for the practice

Please complete form and return to radprecert@choa.org or fax to 404-785-9268.

 

Children's will attempt to obtain authorization based on the supporting clinical documentation received from the provider.  Information regarding the precertification status will be supplied upon request.  Please contact the Patient Access Supervisor at 404-785-5478 or the Patient Access Team Lead at 404-785-6077 for information on your patients authorization status.

There are no assurances that preauthorization will be obtained.

     
 
OrderingAnExam