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gpk3
01-26-12, 12:25 pm
So, when you get injured do you go see a specialist? or a general doc?

I'm asking because I injured my brachialis and I decided to go to an orthopedic specialist instead of my regular doc. I figure they will know more.

Thoughts? Input?

Thanks.

[I also put this on the Universal Thread]

Aggression
01-26-12, 12:30 pm
It depends on the severity of the issue. I've never been to any doc regarding an injury, although there have been cases where I should have. Maybe go to a general doctor to get his opinion and then to a specialist? Not sure. I would say hit up the general doc if its something minor, as if you tweaked something or sprained something. But if its more of a muscle tear or some type of ligament damage, then maybe a specialist is more in order.

Mr. Dead
01-26-12, 12:40 pm
Generally, depending on your Medical Plan, it goes as follows:
First you see your Primary Care Provider... They do the initial exam, order the necessary tests, and make the initial diagnosis... Should they feel that you need a consult referral to a specialist, they will submit that...
Then it depends on whether or not the Specialist feels that you require their services... Your consult can be denied for several reasons... The most common are that your doctor didn't order yhe proper things, the consult was not filled out properly, or that your insurance will not cover it...

I'm sorry that this doesn't paint a pretty picture... But I see this all the time at my regular job as a nurse...

Little Z
01-26-12, 12:42 pm
Generally, depending on your Medical Plan, it goes as follows:
First you see your Primary Care Provider... They do the initial exam, order the necessary tests, and make the initial diagnosis... Should they feel that you need a consult referral to a specialist, they will submit that...
Then it depends on whether or not the Specialist feels that you require their services... Your consult can be denied for several reasons... The most common are that your doctor didn't order yhe proper things, the consult was not filled out properly, or that your insurance will not cover it...

I'm sorry that this doesn't paint a pretty picture... But I see this all the time at my regular job as a nurse...

Completely agree with MD on this, as I have been dealing with this kind of situation for over a year.

gpk3
01-26-12, 12:54 pm
Ah thanks for the input. I called my insurance and they say that I'm covered and I do not require a referral.

I'm guessing I should have asked the question -


"do you think I'm jumping the gun here?"