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Desert Rose Imaging Center
MRI, Ultrasound, X-Ray, DEXA Bone Density Scanning


 

Appointment Forms & Insurance Information

Appointment Paperwork

Complete your paperwork online and submit it before your visit!  After completing the form select the "Submit" button at the bottom of the form and your completed paperwork will be waiting for you and your signature upon your arrival.  

 

Check Insurance Providers Accepted List

Check to ensure that we accept your insurance.  If you do not see your insurance provider listed here please call out office to see if we can accept your insurance (928) 681-3600 we likely can!

          Insurance Payer List Brochure 

AARP Medsolutions
AEI Mega Insurance Center
AHCCCS - Apipa Personal Care Plus Mohave County
AHCCCS - Evercare Motorola Medicare Share
AHCCCS - Evercare Select Mountain States
AHCCCS - Health Choice Multi-Plan (TNRN)
AHCCCS - Native American Mutual of Omaha
AHCCCS - Phoenix Health Plan myMatrixx (TNRN)
AHCCCS - QMB National Provider Network (TNRN)
AIG Native American - AHCCCS
Allstate Life Insurance Network Synergy Group (NSG) (TNRN)
Ameriben One Call Medical
American Family Operating Engineers
American Republic Pacificare
Apipa Personal Care Plus - AHCCCS Peach Springs Indian Health Services
Arizona Benefit Options Phoenix Health Plan - AHCCCS
Arizona Department of Economic Security Physicians Mutual
Arizona Foundation for Medicare Plan Vist Solutions, Inc (TNRN)
Arizona School Alliance PMSI Inc (TNRN)
BCBS Anthem Premier Healthcare Exchange (PHX) (TNRN)
BCBS Federal Prime Health Services ( PHS) (TNRN)
BCBS of Arizona Principal Life
Beechstreet (TNRN) Progressive Auto
Benesight Pyramid Life
BeniCorp QMB - AHCCCS
Berkley Risk QTC Medical Services
BNSF Railway Railroad Medicare
Bridgestone Royal Neighbors
Broadshire SCF of Arizona Work Comp
Cambridge Insurance SCF Premier
Capstone Secure Horizon
Caremark Insurance Sierra Spectrum
CC Firefighters Local Southern Cal Pipe
Champ VA Southwest Carpenters
Cigna Southwest Service Administration
Clark County Firefighters Southwire
Connecticut General Life SRT Admin Inc
Coresource State Risk Management
Coventry Health Care National Network (TNRN) Summit
Crawford and Company Superien Health
Definity Health Teamsters Local 631
Dept of Labor The Loomis Company
Dept of Veterans Three Rivers Provider Network (TRPN) (TNRN)
Desert Canyon TNRN - InterGroup Services Corp
Devon Health Services Inc (DEVON)  (TNRN) TNRN - Beechstreet 
Diagnostic Imaging Services (TNRN) TNRN - Coventry Health Care National Network
Evercare TNRN - Devon Health Services Inc (DEVON)
Evercare - AHCCCS TNRN - Diagnostic Imaging Services
Evercare Select - AHCCCS TNRN - Evolution Healthcare Systems
Evolution Healthcare Systems (TNRN) TNRN - First Health Group
Farmer's Insurance TNRN - Focus Healthcare Management (FOCUS)
First Health Group (TNRN) TNRN - IGS Health Services, Inc.
Fiserv TNRN - Independent Medical Systems Ltd.
FMH TNRN - Integrated Health Plan
Focus Healthcare Management (FOCUS) (TNRN) TNRN - Multi-Plan
Ford Motor Company TNRN - myMatrixx
Frank Gates TNRN - National Provider Network
Gallagher Bassett TNRN - Network Synergy Group (NSG)
GEHA TNRN - Plan Vist Solutions, Inc.
Gilsbar TNRN - PMSI Inc.
Golden Rule TNRN - Premier Healthcare Exchange (PHX)
Group and Pension TNRN - Prime Health Services ( PHS)
Hartford Insurance TNRN - Three Rivers Provider Network (TRPN)
Health Choice - AHCCCS TNRN - US Managed Care Organization, Inc.
Health Net of Arizona Travelers
Health Plan of Nevada Tricare for Life
Humana Trident Plan Administrators
IGS Health Services, Inc (TNRN) Trustmark 
Independent Medical Systems Ltd. (TNRN) UHC
Integrated Health Plan (TNRN) UMR
InterGroup Services Corp (TNRN) Unicare
Key Health United American
Liberty Mutual US Managed Care Organization, Inc. (TNRN)
Lifewise Health Veterans Administration
Mailhandlers Wausau
Marquette Life Western Teamsters
Maxim Insurance Zenith Administration
Medicare  

Physician Forms

  • Physician's Referral Form - This form is password protected please call our office for a password.  This form is for Physicians only.

 

Application for Employment

We want your experience at Desert Rose Imaging Center to be as pleasant as possible.  Is there anything else we can do for you?  info@desertroseimaging.com

 

If you have problems with the forms please download the latest version of Adobe Reader for FREE.  You can also complete the form and print it and then bring the printed copy to the office with you.

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