Dr. Grumpy: "Hi, this is Ibee Grumpy. I'm calling to get an MRI authorized on a lady."
Dr. Heller: "Okay, let me check her file... It looks like we denied the MRI because it isn't clinically indicated."
Dr. Grumpy: "Well, I'm worried this lady has MS, and want to do an MRI to find out."
Dr. Heller: "So does she have MS? We'll cover the MRI if she already has a diagnosis of MS."
Dr. Grumpy: "I don't know. I want to do the MRI to find out if she has MS."
Dr. Heller: "Our policy is only to do MRI's on patients with known MS."
Dr. Grumpy: "So how am I supposed to find out if she has MS in the first place?"
Dr. Heller: "You're the neurologist."