I have United Healthcare and I never asked to see a Wegs Specialist.... I just set up the appointment and saw the WG specialist ( no pre cert). I go to Cleveland Clinic in Ohio. I see a local Rheumy also. I think once you establish a Wegs Specialist they will be able to help you. Like Sangye said, if your having symptoms of CNS Wegs ..your local Rheumy should be making calls to the Wegs speicialist stat.
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