| Document Date: 2014-07-09 05:46:48
Open Document File Size: 722,41 KBShare Result on Facebook
Company Aetna / / / IndustryTerm insurance / fraudulent insurance act / / MedicalCondition uncorrected congenital strabismus / i.e. writer’s cramp / Overactive bladder / Allergies / spasmodic torticollis / chronic neuroleptic treatment / Jaw-closing oromandibular dystonia / hemifacial spasms / focal primary hyperhidrosis / corticobasilar degeneration Symptomatic torsion dystonia / trismus / Yes No Frey’s syndrome Yes No Hirschsprung’s disease / adequately titrated prescription overactive bladder / Schilder’s disease / gaze palsies accompanying diseases / joint contracture / anal fissure / conservative therapeutic measures Yes No Detrusor-sphincter dyssynergia / stroke / nausea / migraine / urge urinary incontinence / lumbar torsion dystonia / neuromuscular disorders Yes No Chronic / pain / chronic skin maceration / tarive dyskinesia / migraine headaches / drooling / spinal cord injury Yes No Esophageal achalasia / deformity / multiple sclerosis / hiatal hernia / neuromyelitis optica / Strabismus / upper limb Yes No Ptyalism/sialorrhea / cerebral palsy Hereditary / Spastic hemiplegia / contractures / demyelinating diseases / Focal dystonias / nerve palsy synkinesis / sialorrhea / No Migraines / Yes No Facial myokymia / infections / refractory upper extremity tremor / migraine headache / No Blepharospasm / spinal cord injury / / MedicalTreatment Botox / behavioral therapy / Pain Management / pharmacotherapy / surgery / radiation / / NaturalFeature Calcium channel / / / Position Management Specialist / writer / Physician / Neurologist / / Product oxybutynin chloride / Vesicare / Oxytrol / Myobloc / Botulinum Toxins Injectable Medication / / Technology radiation / cellular telephone / /
SocialTag |
Botulinum Toxins Injectable Medication Precertification Request Page 1 of 2 Aetna Precertification Notification 503 Sunport Lane, Orlando, FL 32809