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Instructions for MRI Support Visit Requests



1. MD office emails BHI Nurse (Maria Torres, LPN) with the following

    information to monitoringcenter@basichi.com:

           • Completed MRI Support Visit Request Form (Download PDF Here)

           • Copy of patient insurance card

           • Copy of most recent telemetry


2. MD office contacts BHI Nurse to confirm receipt of referral information at

    1-888-822-7428 ext 112.


3. BHI Nurse will call patient for introduction and verify information. 


4. BHI Nurse will email/fax the following documents to MD for signature: 

           • MRI Support Visit Order

           • Letter of Medical Necessity 


5. Once all requested documentation has been received, BHI Nurse

     will confirm and arrange MRI appointment with BHI Field Nurse. 


6. Please note that the MRI date is dependent upon BHI Field Nurse

    availability, therefore may take several days to coordinate services.

    However, as BHI employs additional nurses to cover home care

    cases, the turnaround time will decrease. 


| BHI MRI Support - Wed July 26, 2017 2:28 PM