ADD Patient

Selection is required.

Scheduling referral program is no longer active for patient.

{{selectionTextFinal[technologyData.row]|trusted}}  > {{rfcText[technologyData.row]}}

{{Modality[technologyData.row]}}

• {{tech.technology|trusted}} {{tech.technology|trusted}}
  {{BodyPart[technologyData.row]|trusted}}

  • {{bodyPartData.display|trusted}} {{bodyPartData.display|trusted}}
    {{SubBodyPart[technologyData.row]}}

    • {{subBodyPartData.display|trusted}} {{subBodyPartData.display|trusted}}
      {{Position[technologyData.row]}}

      • {{positionData.display|trusted}}
    {{Position[technologyData.row]}}
    • {{positionData.display}}

Reason for consultation

• {{rfcData.display}}

Selection is required.

Need more tests?

---

I have insurance

I don't have insurance

Please select above insurance option.

Please select the insurance plan that matches the address on the back of your insurance card.

Please Enter Valid Insurance Name.

Please enter valid insurance.

I don't have insurance

I have pre-authorization

I don't have pre-authorization

Please select above pre auth option.

Please enter valid Pre-auth.

I don't have pre-authorization

Please select your Self Pay details.

Please select valid location or region.

---

Please enter your Zipcode.

Please enter a valid Zipcode.

Selection is required.

OR

Select Specialty {{sp.specialty_name}}

Please select Specialty.

{{selectionTextFinal[technologyData.row]}}  > {{rfcText[technologyData.row]}}

{{Modality[technologyData.row]}}

• {{tech.technology|trusted}} {{tech.technology|trusted}}
  {{BodyPart[technologyData.row]|trusted}}

  • {{bodyPartData.display}} {{bodyPartData.display}}
    {{SubBodyPart[technologyData.row]}}

    • {{subBodyPartData.display}} {{subBodyPartData.display}}
      {{Position[technologyData.row]}}

      • {{positionData.display}}
    • {{Position[technologyData.row]}}
    • {{positionData.display}}

Reason for consultation

• {{rfcData.display}}

Selection is required.

I'll select insurance later

{{selectionTextRfc}}

{{rfcRow.name}}

• Reason for Consultation
• {{rfcRow.name}}

Selection is required.

{{selectionTextInsurance}}

Insurance

• {{insuranceRow.name}}
  Insurance Address

  • {{addressRow.name}}

{{selectionTextFinal[technologyData.row]|trusted}}  > {{rfcText[technologyData.row]}}

{{Modality[technologyData.row]}}

• {{tech.technology|trusted}} {{tech.technology|trusted}}
  {{BodyPart[technologyData.row]|trusted}}

  • {{bodyPartData.display|trusted}} {{bodyPartData.display|trusted}}
    {{SubBodyPart[technologyData.row]}}

    • {{subBodyPartData.display|trusted}} {{subBodyPartData.display|trusted}}
      {{Position[technologyData.row]}}

      • {{positionData.display|trusted}}
    • {{Position[technologyData.row]}}
    • {{positionData.display}}

Reason for consultation

• {{rfcData.display}}

Selection is required.

Need more tests?

Welcome to Covia Health!

We are glad to offer you 3D Mammography Screening and Bone Densitometry Screening services.

Thank you for using our online registration portal designed to enhance the quality of your experience with Covia Health.

Here's what you need to know before you begin:

• This process may take between 15-20 minutes to complete.
• If you are under the age of 35 at the date of your screening, or if you are pregnant or nursing at the date of your screening, you may not be eligible for a screening mammogram.
• Most insurance companies allocate coverage for 1 screening mammogram every 12 months.
• Please keep in mind that some insurance plans may not cover all of your screening expenses. You may need to check with your insurance or benefits provider to determine your coverage and any potential out of pocket costs.

Please make sure you have the following:

• Your health insurance information
• Your basic medical history (ex. date of your last mammogram)
• Contact information for the physician that will be receiving your screening results.

To inquire about special scheduling accommodations not listed, please call (832) 476-9660 (Option 1)

Please enter the code provided by your employer to identify the right location(s) for you.

If there are any questions please ask.

Thank You,

Search

Continue