I work for a mail order pharmacy insurance company, oh the joys........
Just getting into the blasted account
ME: "Can I have your member ID so I can access your account?"
SC: "WHAT THE &%$%$%#%&$& I just gave it to the computer!! You should have it"
ME: Sorry, but that info does not come through
SC: Why the hell not!?
ME: It just does not, can I get your ID so I can assist you with your problem
SC: fires off number in rapid mushmouthed fashion so I can't even begin to get it.
ME: *try to enter ID number I got of course it does not work* I am sorry, That isn't working, I got 123456
SC: pissed, and signing and condescending like *I* am the idiot
~~~~~~~~~~~~~~~
ME: "Can I have your member ID so I can access your account?"
SC: *always suprised that they need that info and fumbles around for ID card*
I have the r x bin
ME: No It should be some sort of ID number
SC: ALL I SEE IS RX BIN!
ME: *wanting to stab my brain with a fork* Look towards the bottom of the card, there should be an ID number"
SC: rattles off numbers
ME: *this usually pulls up completely different accounts as they are giving the RX BIN* Uh... can you verify your name and DOB. They rattle it off, I then use that info to FINALLY open the account.
SC is, of course irritated that it took 'so long' to get their account pulled up.
~~~~~~~~~~~~~~~~~~~~~~
Then there are times when nothing pulls up an account. ID does not work, nor does name and DOB, or RX number. This is, of course, somehow my fault and I get yelled at because THEY can not give me proper info.
~~~~~~~~~~~~~~~~~~~
Then there was one woman who refused to fully authenticate:
She called in wanting to know why she got a bill. Of course, she is absolutely clueless about what her member ID is. I manage to get in based on name and DOB....in that case, I have to verify address, phone, and a script name or number before I can divulge ant info. She does not know the name of the script ,....which was for her adult son, which also required me asking if he knew she was calling on his behalf.
SC refused to answer the question. I told her that I could not divulge any info without the script name and knowing that SC's son knows SC is calling. she said she gave 'enough' verification and demands the info. I tell SC no. She demands a supervisor. well, a supervisor will *not* take a call that is not fully authenticated. Sup IS standing behind me and waiting for her to verify the missing info.
She then starts screaming and saying "so you are REFUSING" to give me a supervisor?"
"not at all, the sup is refusing to take the call. she will come on right after you verify."
"I gave you all the info you need and I demand a supervisor NOW!"
"she will come on right after you verify"
*rinse, lather repeat*
by now, it is the 'principle' of the matter.
SC starts to threaten legal action and calling corp. I tell her that I am acting within company policy and I will be more than happy to assist/ get the sup AS SOON AS SHE VERIFIES" Seriously, all she has to say was a little three letter word, "yes" we can even get around the name of the med issue- as long as she will accept that the 60.00 bill is 'for your son's medication that was shipped on X date" (which we know by now she would not be...)
She ends the call screaming, cussing, and saying that she will call Corp and demand that I get fired and this call be used in training as to what NOT to do. (Sup at this point has plugged in and is sitting next to me listening....I almost have to kick her off because she is LAUGHING at this point.
Well, chick got one wish. The call was indeed pulled and played in recent training as EXACTLY WHAT TO DO... IE: don't let assholes bully you into violating HIPAA/company policy
I got a pretty "good going" cert to hang in my cube, too.
Just getting into the blasted account
ME: "Can I have your member ID so I can access your account?"
SC: "WHAT THE &%$%$%#%&$& I just gave it to the computer!! You should have it"
ME: Sorry, but that info does not come through
SC: Why the hell not!?
ME: It just does not, can I get your ID so I can assist you with your problem
SC: fires off number in rapid mushmouthed fashion so I can't even begin to get it.
ME: *try to enter ID number I got of course it does not work* I am sorry, That isn't working, I got 123456
SC: pissed, and signing and condescending like *I* am the idiot
~~~~~~~~~~~~~~~
ME: "Can I have your member ID so I can access your account?"
SC: *always suprised that they need that info and fumbles around for ID card*
I have the r x bin
ME: No It should be some sort of ID number
SC: ALL I SEE IS RX BIN!
ME: *wanting to stab my brain with a fork* Look towards the bottom of the card, there should be an ID number"
SC: rattles off numbers
ME: *this usually pulls up completely different accounts as they are giving the RX BIN* Uh... can you verify your name and DOB. They rattle it off, I then use that info to FINALLY open the account.
SC is, of course irritated that it took 'so long' to get their account pulled up.
~~~~~~~~~~~~~~~~~~~~~~
Then there are times when nothing pulls up an account. ID does not work, nor does name and DOB, or RX number. This is, of course, somehow my fault and I get yelled at because THEY can not give me proper info.
~~~~~~~~~~~~~~~~~~~
Then there was one woman who refused to fully authenticate:
She called in wanting to know why she got a bill. Of course, she is absolutely clueless about what her member ID is. I manage to get in based on name and DOB....in that case, I have to verify address, phone, and a script name or number before I can divulge ant info. She does not know the name of the script ,....which was for her adult son, which also required me asking if he knew she was calling on his behalf.
SC refused to answer the question. I told her that I could not divulge any info without the script name and knowing that SC's son knows SC is calling. she said she gave 'enough' verification and demands the info. I tell SC no. She demands a supervisor. well, a supervisor will *not* take a call that is not fully authenticated. Sup IS standing behind me and waiting for her to verify the missing info.
She then starts screaming and saying "so you are REFUSING" to give me a supervisor?"
"not at all, the sup is refusing to take the call. she will come on right after you verify."
"I gave you all the info you need and I demand a supervisor NOW!"
"she will come on right after you verify"
*rinse, lather repeat*
by now, it is the 'principle' of the matter.

SC starts to threaten legal action and calling corp. I tell her that I am acting within company policy and I will be more than happy to assist/ get the sup AS SOON AS SHE VERIFIES" Seriously, all she has to say was a little three letter word, "yes" we can even get around the name of the med issue- as long as she will accept that the 60.00 bill is 'for your son's medication that was shipped on X date" (which we know by now she would not be...)
She ends the call screaming, cussing, and saying that she will call Corp and demand that I get fired and this call be used in training as to what NOT to do. (Sup at this point has plugged in and is sitting next to me listening....I almost have to kick her off because she is LAUGHING at this point.
Well, chick got one wish. The call was indeed pulled and played in recent training as EXACTLY WHAT TO DO... IE: don't let assholes bully you into violating HIPAA/company policy


Comment