Carrier Advocacy Request

The society has developed this form for members to submit carrier information when denied reimbursement to the physician or the patient for specific interventional radiology treatments. To initiate societal “comment letters” please complete the information below. 
Member Information

Your SIR membership number can be found in your online member profile at

Carrier Information
Please provide us with information pertaining to the Carrier.

*Please ensure all patient information is redacted from any denial document you submit.
If you have any questions, please contact the economics team.