Every medical-insurance representative you speak with regarding precertification has an identification number. This knowledge will prevent you from having to repeat the detailed patient information in the event that you have to call back.

Simply ask to speak to the same representative using his or her identification number. The insurance companies do not regularly volunteer this information, so you have to request it. — Patrick Aufiero, MD, Hamilton, N.J. (171-5)


These are letters from practitioners around the country who want to share their clinical problems and successes, observations and pearls with their colleagues. We invite you to participate. If you have a clinical pearl, submit it here.