Ucsf radiology billing 2026

1. Click ‘Get Form’ to open the UCSF Radiology Billing form in the editor.
2. Begin by filling out the Patient Information section. Enter the patient's name, date of birth, medical record number (MRN), and contact numbers for home and cell.
3. Next, provide details for the Referring Physician. Include the physician's name, office contact person, and their phone, pager, and fax numbers.
4. In the Diagnosis/Clinical Indications section, ensure you enter the UCA Attending Physician ID and check if an MD signature is required.
5. For Exam Requested, carefully check all applicable studies from MRI to X-Ray. Make sure to complete any required sections below this field.
6. Fill in the Patient Appointment Date, Time, and Location accurately to avoid scheduling issues.
7. Finally, review all entries for accuracy before saving or submitting your completed form through our platform.

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