After a review of the annual clinical performance evaluation for patients treated by Dr. David Ness in 2012 Dr. Ness has been given Tier 1 advantage status for OptumHealth Care Solutions for the 2nd year in a row. Due to continued excellence in his treatment outcomes using sports chiropractic care, Active Release Techniques, custom exercise programs, and stretching Dr. Ness’s treatment results in quicker healing with lasting results. Tier 1 providers have no clinical submission requirements for the patient or doctor, no authorizations, or pre- authorizations for treatments, streamlining care for our patients. OptumHealth Care Solutions administers chiropractic & physical therapy benefits for United Healthcare, Aetna, Oxford, and Managed Physical Network.