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The Issues

Reimbursement Issues

Aetna has decided for their members that the services of an anesthesiologist or CRNA in the office-based setting is not medically necessary for healthy patients undergoing routine endoscopic procedures.


1. http://www.aetna.com/members/individuals/health/plan_details/NewYork/flyer_hmo.pdf
2. http://www.anthem.com/visitor/oh/f2/s1/t0/pw_ad026586.pdf




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