“Happy” New Years
Yeah right.
Starts off first thing in the morning. Computers are in local mode. no connection to Central.
Also no internet.
So no electronic adjucation with insurance companies. And no copays.
Oh joy.
I get a call from the help desk. Now there’s a misnomer. She calls and says “We recieved an alarm overnight that your stored went off the grid, and we can’t access your network remotely. And you Sat-backup isn’t working.”
Well yes, the DS3 line is out. No bypass on that, its a dead end. As the the Satellite backup? Its in a box in the closet. No, not a server box, a cardboard box. Its never been installed. I’ve opened a number of complaints about them never installing it when we built the store, and every time Tech support has been on site to hook it up they never know anything about it.
Now comes the rush. Busiest day of the year for pharmacy or so they say. I don’t think they mean in sheer numbers, its all the crap the customers pile on you.
First, everyones new insurance takes effect on Jan first. Well since thats New Years day, we’ll all go tomorrow. (yesterday was SLOW despite the fact we were open. I did all my inventory out-of-dates, and still had free time)
Next is the fact than many don’t bother to inform you that the insurance has changed. So you go and bill it and it gets rejected, then their mad at you that its not done when they get there.
So about 11 I get back online. Finally copays are generating. Well now all these claims are coming back rejected, or with errors.
Oh joy.
So I get this woman from Texas with a Blue Cross Blue shield card. Looks simple right? TXBC as the planID. Nope.
Its Express Scripts. and the card doesn’t have a bin or PCN number on it. Just a phone number for pharmacy services and the ESI/Perx logo. So I put in the ID number and bill to ESI/Perx.
Rejected.
Messed around with it for a while and then called the company.
Yeah, the member# on the ID card? Not the same as the Prescription one.
Takes this woman 10 mins of searching to tell me this. Takes her another 20 to actually FIND the number I need. This is all after spending 5 mins working through all the freaking phone prompts to get to a live person.
Lastly this old guy comes in. Speaks very little English. one of my techs handles him as I am getting ready to leave. This tech is rather new to pharmacy, and tries to fuddle her way through things she doesn’t understand.
So after her muddling through and not having any success, I take over. Yeah, its Medicare part D. Yeah he doesn’t have the new card.
He gets pissed and leaves because as he stated “It take too long, come back tomorrow, better not have problem”
Finally get it to go through. Half are too soon. The other few are rejected for various reasons.
Finally about 15 mins after I’m supposed to have left, I finally tell her to just put them in a bin and I’ll worry about it tomorrow.
I just LOVE the new year.
Tags: Frustrations, Holidays, Insurance | |
