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Providers to put in specific consults for a certain amount of work, like one visit for evaluation and if they want to do something like surgery or some other procedure, if it can be done by the va then it has to be done at the va and then you have to get the report back to the outside guy for him to make the next decision on it. and its a very expensive procedure. so its usually not within the budget. its been historically in the past used for a place like phoenix, for instance, neurosurge neuro...