Provider Resources

Physician Forms

• MRI Referral Form (PDF)
• Breast MRI Referral Form (PDF)
• Cardiac MRI Referral Form (PDF)
• EPIC Order Reference Sheet (PDF)

What To Order

• ACR Appropriateness Criteria
• Contrast Vs. No Contrast Reference Sheet
• Common CPT Codes Reference Sheet
• Epic Order Reference Sheet

Information for Referring Practices

MRI Group NPI (Lancaster county sites): NPI 1518129196

MRI Group NPI (Parkesburg location): NPI 1235570789

MRI Group Provider Numbers for Navinet:

• Aetna: 2996578
• Amerihealth Caritas of PA: 20016459
• Capital Blue Cross: 50001177
• Gateway: 1505208
• Highmark Blue Shield: 1409922
• Independence Blue Cross: 2097162000/002813746
• United Healthcare non par (par with UHC Community plan only)

MRI Safety Training For First Responders

This is an information training video for local fire/EMS/police departments to watch as part of an annual training program.