Why do I have to have an x-ray before I can have the cat scan my doctor ordered?

CAT scans expose you to more radiation. X-Rays use less radiation and can often tell the doctor what he/she needs to know. In addition, overall cost to the member (coinsurance) and the Plan for X-ray services are less expensive than the cost for a CAT scan. If a member meets medical necessary for a CAT scan, the doctor can provide additional information to UMR to explain why a CAT scan is needed instead of an X-ray.

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