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Preauthorization Services

Leave it to the experts

ImageCare has a team dedicated to helping our patients and referring physicians obtain authorizations. Please rely on us to help you.

Major Medical

Please fax or email the following information to our precertification team.

  • Prescription
  • Patient Demographics
  • Clinical Notes

F: 973.871.3334
E: precert@imagecarecenters.com

Motor Vehicle

Please fax or email the following information to our MVA precertification team.

  • Prescription
  • Patient Demographics
  • Clinical Notes
  • Date of Accident
  • MVA insurance with Adjuster’s name and telephone number
  • Policy and Claim number
  • Police Report (if available)
  • Insurance Declaration Page (if available)
  • Attorney Information (if available)

F: 201.475.1458
E: mvaprecert@imagecarecenters.com

Contacts

P: 908.979.1621 Option 6
Major Medical Contact – Debbie R.
Motor Vehicle Contact – Samantha H.

 

Download Preauthorization Information Sheet

OIG Opinion

The document linked below is from the Office of Inspector General.  It is an opinion on the legality of third-party representatives offering pre-authorization services.

Download OIG Opinion No. 10-04 (PDF Document)

Business Associate Agreement

ImageCare may require a Business Associate Agreement (BAA) completed in order to provide services.

Download BAA Form