Email Templates

Please use the following templates when emailing All_WR_CC_Leadership@washingtonradiology.com
Remember to always put [ENCRYPT] in the subject line of your emails that contain any patient information.

Provider/Medical Facility Requesting to Update or Change Information:

SUBJECT LINE: [ENCRYPT] REQUEST TO UPDATE PROVIDER INFORMATION

Name of Caller: 
Title of Caller (Manager, Office Assistance, Nurse, PA, etc.):
Contact Number:
Name of Facility/Office Requiring Update:
Provider's Full Name:
Credentials (MD, DO, CNM, DDS, etc.):
NPI #:
Physician Specialty: 

Physicians Current Information (what is to be removed or replaced):
Address (include street number, street name, suite, city, state & zip code):
Phone Number:
Fax Number:
Other Requests:

Physicians Updated/New Information (what is to be added): 
Address (include street number, street name, suite, city, state, & zip code):
Phone Number:
Fax Number:
Other Requests: 

Unable to Make Contact with a Center:

If for MRI or Biopsy, send email to Leadership and CC the Center Contact using: http://washington-radiology-contact-center.knowledgeowl.com/help/biopsy-mri-etc-contact

All other inquiries, email to Leadership. 

SUBJECT LINE: [ENCRYPT] UNABLE TO REACH CENTER

MRN (if applicable): 
Patient Name: 
Caller Name (if other than the patient): 
Contact Number: 
Center Name: 
Details Regarding Situation:  

Diagnostic/Symptomatic Patient Needing Earlier Appointment:

See Symptomatic Patient Needs Sooner Appointment job aid for contact list!

SUBJECT LINE: [ENCRYPT] DX/SYMP PT NEEDING EARLIER APPT

Patient Name: 

Medical Record Number (if applicable): 

Contact Number: 

Exam(s) Requested: 
Appointment Set For: 
Current Symptoms: 

Insurance Verification - Email to Leadership:

SUBJECT LINE: [ENCRYPT] INSURANCE VERIFICATION REQUEST

Medical Record Number (if applicable): 
Patient Name: 
Caller Name (if other than the patient): 
Contact Number:
Procedure/Exam Type: 
Center Name: 
Insurance Carrier: 
Member ID/Policy Number: 
Group Number: 
Claims Mailing Address:

Complaints/Feedback:

SUBJECT LINE: [ENCRYPT] PATIENT FEEDBACK

Medical Record Number (if applicable): 
Patient Name: 
Caller Name (if other than the patient): 
Is a Return Call Requested: Y/N
Contact Number: 
Is the feedback for a Center or the Contact Center: {Add Center Name or Contact Center}
Basic Complaint Details: 

General Sales :

SUBJECT LINE: [ENCRYPT] GENERAL SALES INQUIRY/REQUEST

Caller Name: 
Contact Number: 
Company the Represent: 
Who are they Requesting to Speak With: 
What is the Reason for their Call: 
Did they Request a Specific Center/Location (if so, include which one): 

Virtual Colonoscopy Exam Scheduled:

Send to the following AND copy Leadership

Patient Name: 
MRN: 
Scheduled Appointment Date & Time: 
Location: 

Billing/Refund Inquiry:

SUBJECT LINE: [ENCRYPT] BILLING/REFUND REQUEST

Medical Record Number (MRN): 
Patient Name: 
Caller Name (if not patient): 
Patient/Caller Contact Number (if return call needed): 
Center Name: 
Date of Service: 
If applicable, has the patient called the appropriate billing number? 
Details of Patient Inquiry/Concern: 

UPDATED: 12/04/2025