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Today I get a call from a pharmacy. You would figure that pharmacists or their assistants would know how to electronically submit a claim with any type of drug card (we offer plastic cards but a paper card can be used just as well). Not today.
SP: Stupid Pharmacist
Me: Hey!
Me: Jenn speaking
SP: Yes, I’m calling from a pharmacy and we have a claimant who has a paper card not plastic so we can't submit this claim
Me: Well the paper card can be used in place of a plastic card.
SP: But we can’t scan a paper card
Me: Isn’t there a way to manually input the information? The plan number and ID is on the paper card just like a plastic card
SP: But there is no name of who to bill to
Me: What’s the plan number?
SP: *gives plan number*
Me: That’s ABC Company
SP: Oh well you have the form to get a plastic card?
Me: There is no form to get a plastic card. The claimant will have to go to their employer to have a card ordered
SP: Oh but we can’t submit this claim without a plastic card
Me: *at this point methinks this SP is new and doesn’t know how to manually input a claim so as this is going nowhere* How was it that I could help you?
SP: We need a plastic card
Me: I can’t provide you with a plastic card
SP: You have a form?
Me: There is no form to get a plastic card
SP: How will this work then?
Me: If you can’t manually input the card information, the claimant can pay for the claim and then submit it to his employer
SP: Oh he needs to go to his employer?
Me: Yes
SP: So this claim won’t go through
Me: I think this is something you need to tell the claimant
SP: Oh ok. Thank you.
If our paper cards didn’t work as well as our plastic cards, we would not give them out. And if you can’t figure out how to do something, ask someone!!
SP: Stupid Pharmacist
Me: Hey!
Me: Jenn speaking
SP: Yes, I’m calling from a pharmacy and we have a claimant who has a paper card not plastic so we can't submit this claim
Me: Well the paper card can be used in place of a plastic card.
SP: But we can’t scan a paper card
Me: Isn’t there a way to manually input the information? The plan number and ID is on the paper card just like a plastic card
SP: But there is no name of who to bill to
Me: What’s the plan number?
SP: *gives plan number*
Me: That’s ABC Company
SP: Oh well you have the form to get a plastic card?
Me: There is no form to get a plastic card. The claimant will have to go to their employer to have a card ordered
SP: Oh but we can’t submit this claim without a plastic card
Me: *at this point methinks this SP is new and doesn’t know how to manually input a claim so as this is going nowhere* How was it that I could help you?
SP: We need a plastic card
Me: I can’t provide you with a plastic card
SP: You have a form?
Me: There is no form to get a plastic card
SP: How will this work then?
Me: If you can’t manually input the card information, the claimant can pay for the claim and then submit it to his employer
SP: Oh he needs to go to his employer?
Me: Yes
SP: So this claim won’t go through
Me: I think this is something you need to tell the claimant
SP: Oh ok. Thank you.
If our paper cards didn’t work as well as our plastic cards, we would not give them out. And if you can’t figure out how to do something, ask someone!!
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