Physicians
Physician Guidelines
CareCore National offers these guidelines for referring physicians.
  • Radiology
  • Cardiology
  • Oncology

    • Professional Physician/Practice Assessment
    CareCore provides a detailed assessment of each professional physician/practice site ensuring that contracted imaging centers meet professional and technical performance quality standards.

    Fax Forms
    Radiology Cardiology
  • Generic Fax Form
  • CT/CTA Fax Form
  • MR/MRA Fax Form
  • OB Ultrasound Fax Form
  • PET Scan Fax Form
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    Oncology
  • Horizon Oncology BioManage Program Fax submission form
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    Claims Forms and Notices
  • State of NJ Claims Appeal Application

  • Review of Claim Submitted for Payment Based on Medical Necessity in New Jersey

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  • Health Net Nuclear Cardiology Pre-Certification
  • Aetna Nuclear Cardiology Pre-Certification
  • Oxford Nuclear Cardiology Pre-Certification
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    HIP Cardiology Forms
  • HIP Cardiac MRI Pre-Certification
  • HIP Nuclear and Echo Stress Test Cardiology Pre-Certification
  • HIP Echocardiography Pre-Certification
  • HIP Cardiac CT/CCTA Pre-Certification
  • HIP Diagnostic Left Heart Catheterization Pre-Certification
  • HIP Cardiac PET Pre-Certification
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    169 Myers Corners Road
    Wappingers Falls, NY 12590
    Phone 845-298-8155, Toll Free 800-918-8924
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