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ESWT Treatment and HMO approval

Posted by Ron G. on 4/18/01 at 21:45 (045034)

My HMO denied my pod's referral to an ESWT treatment site. They denied it on the basis of ESWT therapy is still in the investigational catagory. Specifically stated that ' Although the Ossetron device itself is FDA approved, review of the peer received medical literature does not support that this therapy is a standard cure and therefore remains investigational pending further study. I have to file an appeal in writing with supporting documentation. Anyone have experience or suggestions?