Dr. Grumpy: "Hi, this is Dr. Ibee Grumpy. I'm calling to get an MRI authorized."
Dr. Heller: "Okay, let me look at our file... It looks like we denied the MRI because it isn't clinically indicated."
Dr. Grumpy: "Well, this is a young man with memory problems, and I want to make sure his brain looks okay."
Dr. Heller: "Have you checked labs for metabolic causes? Have you ruled-out depression?"
Dr. Grumpy: "His labs look fine. Depression certainly could be the cause, but I want to make sure he doesn't have a tumor."
Dr. Heller: "Our policy is that he needs to be evaluated by a psychiatrist for this before we do the MRI."
Dr. Grumpy: "I tried that, but your company doesn't cover any psychiatrists."
Dr. Heller: "That's correct."
Dr. Grumpy: "So how do I go about getting this done?"
Dr. Heller: "You're his doctor."