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For the love of... (long and ranty)

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  • For the love of... (long and ranty)

    Okay, I know, no one likes their insurance company. You pay them ridiculous amounts of money for benefits that frequently seem not worth it. But how do you not know who your insurance company is in the first place?

    Example One
    I get patients name, get their script out of the bin, and see we have no insurance.
    "Do we have your current prescription insurance on file?"
    "Yes."
    I try to rerun the insurance, and get a denial. I share this info with the patient.
    "Oh, they just sent me this new card."


    Example Two
    No insurance, try to rerun, patient insists I call their insurance company. I confirm the company, and call.
    "This company has not coverage for you since 2006."
    "Oh, that's right, they changed it."
    Hands me a new card.

    Example Three
    Patient has no idea who their insurance is through, has no card or ID numbers, but just knows that their scripts are covered. And then gets serious pissed when we tell them we can't bill an insurance without at least having a company to call.

    And that's not even getting into the Medicaid people who only know they get things free, but have no other clues, or the Medicare people who never have any concept of who their plan is though.

    One of these people, an example two, got me into trouble tonight, because I wasn't chipper enough, and she thinks she saw me roll my eyes.

    If only I could tell these people what I thought of them. We're not psychic, you know, we only have the info you give us. If it's wrong, guess who's fault that is.
    http://tinyurl.com/43hger/.gif

  • #2
    I'm sorry for the idiots you have to deal with. **passes cookies**
    My ex-husband has insurance on our kids & when it changed recently - HE gave the new insurance the wrong birthday for our youngest. The ladies at the pharmacy did their absolute best & were so apologetic when they couldn't refill his prescriptions - I just told them - it wasn't AT ALL their fault - I apologized to them for having to deal with my ex-husband's stupidity. It was all figured out in the end after a couple weeks & I thanked them over & over for helping me as much as they did.

    I have witnessed a lady go nuts on local pharmacy staff because she asked for her prescriptions to be refilled through some automated service where the pharmacy sends off requests to the doctors office. She was mad because the doctors office hadn't approved them yet - while she was going off - I butted in very politely & told her - this has NOTHING to do with them - they told you that the fastest way to get this fixed was for her to call her doctor's office & see if they responded to the requests from the pharmacy - they pharmacy has already done what she requested - wierd how she calmed down & understood my explanation, but didn't understand the same explanation two pharmacy ladies gave her, but still wanted them to give her "two days of each of her medications" because of the "trouble" this was causing her. I'm not sure if they did that for her though - I had left already.
    Last edited by The Last to Know; 02-20-2009, 05:04 AM. Reason: fixing stuff i forgot :-)
    "Eventually, everything that you have said becomes everything you will ever say." Eireann
    RIP Plaidman - you are loved & greatly missed.

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