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Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. © 2003 by Saunders, an imprint of Elsevier, Inc. All rights reserved.

medically necessary

Managed care adjective Referring to a covered service or treatment that is absolutely necessary to protect and enhance the health status of a Pt, and could adversely affect the Pt's condition if omitted, in accordance with accepted standards of medical practice. See Futility.
Medically necessary, criteria  
a. Appropriate for the Sx and diagnosis or treatment of a condition, illness or injury
b. Provided for the diagnosis or the direct care and treatment of the condition, illness or injury
c. In accordance with the standards of good medical practice in the service area
d. Not primarily for the convenience of a plan member or a plan provider
e. The most appropriate level or type of service or supply which can safely be provided to the plan member
McGraw-Hill Concise Dictionary of Modern Medicine. © 2002 by The McGraw-Hill Companies, Inc.

Patient discussion about a.

Q. my sides hurt sometimes it feels like someone is pulling on my nuts usually in morning

A. Your question is very interesting, but the answer depends on many other details such as how old are you? Do you have pain in any other place? Are there any changes on the skin? Do you have any other disease? Is the pain aggravated when you cough? etc.

Mean while you can read a little more here (http://www.nlm.nih.gov/medlineplus/ency/article/003160.htm)

Q. i cant stop getting a hard on erection stiffy embarrassing crease in trousers

A. Have you heard of priapism,a condition in which the penis is continually erect; usually painful and seldom with sexual arousal. If you suffer from this you should go see a doctor about it.

Q. how do you help a tooyh ache? cavity

A. Painkillers may relieve the pain but only temporarily, so if you have a tooth pain in my opinion the best way to treat it is consulting a dentist or other doctor.

You may read more here:
http://www.nlm.nih.gov/medlineplus/ency/article/003067.htm

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