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Contact

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Leadership

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How Can We Help?

Radiology Prior Authorization Team

The team reviews the Radiology Imaging exams scheduled at Brigham Health Imaging sites, and works to determine the Prior Authorization requirements for those exams (MRI, CT Scan, Nuclear Medicine/PET, Interventional Procedures). When it’s determined the patients insurance requires an Authorization, the Pre-Auth Team will work on behalf of the PHS Ordering provider to obtain the necessary Authorization. If a peer-to-peer discussion is needed prior to the payor making the determination on the Authorization, the Pre-Auth team will coordinate the discussion between the payor staff and the Ordering Provider’s staff. For cases ordered by Providers outside PHS the Prior Authorization Team will still conduct the Pre-Auth requirement, and convey the outcome to the Ordering Provider’s staff who must obtain the Authorization.

Radiology Central Scheduling Team

The team provides Scheduling Services for those Brigham Health Practices that have chosen this workflow. The Scheduling Team will reach out to the patient using a workflow that includes telephone calls over a several week period in an attempt to connect with the patient. If the telephone attempts are unsuccessful the staff will use a written communication as a final attempt to contact the patient. In addition to the internal Scheduling Service, this team assists patients that call the Central Scheduling line to schedule, cancel or reschedule appointments and provides Scheduling Services for providers outside of PHS by receiving incoming telephone calls and faxed orders.

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