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Expert Opinion - rwevansmd.com
Expert Opinion 990 Occipital Nerve Blocks and Managed Care:A Review of the Reviewers Case History and Follow-up Submitted by Randolph W. Evans, MD Expert Opinion by George D. Yannakakis, MD Key words: intractable headaches, occipital nerve block ( Headache . 2001;41:990-991) Denial of an insurance claim for occipital nerveblocks raises questions about utilization review by in-surance companies and peer reviewers. Who reviewsthe reviewers? CLINICAL HISTORY A 40-year-old man presented with a 3-week his-tory of right-sided more than left nuchal-occipital andparietal throbbing pain of moderate intensity daily onan intermittent basis and lasting for several was no associated nausea, light or noise sensi-tivity, aura, fever, or other systemic symptoms. He re-ported no antecedent history of head or neck did not help.
Expert Opinion 990 Occipital Nerve Blocks and Managed Care: A Review of the Reviewers Case History and Follow-up Submitted by Randolph W. Evans, MD
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