On The Job with Healthcare

[Mr. Big Dog 10,747]

welcome to insurance verification and authorization... thats why I could never have that type of job, how miserable to spend your whole day repeating the same info over and over and being transferred 8000 times. It's all so productive isnt it? Although most major insurance companies have had eligibility and benefit info available online for years now.

My employer requires a verbal verification in case we have to dispute a claim.

How much time do you spend on verifying coverage and eligibility for Medicare patients?

None. We just schedule them in for an appointment.

Damn that government bureaucracy.

[Y's_habibitk 2]

welcome to insurance verification and authorization... thats why I could never have that type of job, how miserable to spend your whole day repeating the same info over and over and being transferred 8000 times. It's all so productive isnt it? Although most major insurance companies have had eligibility and benefit info available online for years now.

My employer requires a verbal verification in case we have to dispute a claim.

I would tell my employer that something printed off their website is heavier "ammunition" than having a note saying that you "spoke to tim,mary,yolanda,jim and bob who verified coverage" They all give you that spcheel anyway about coverage may change and authorization is not a guarantee of coverage bla bla bla......... Your company would save in administrative costs too

Im not a fan of insurance companies, but they have tried to make things more efficient for the providers in the past few years, if providers decide to "do it the old fashion way" then thats on them.

[Tahoma 2,292]

Rebeccajo...keep on posting...I feel like I'm rubbernecking at the scene of an accident.

[aidan80 9]

I am, at this very moment, at work - verifying insurance coverage for a patient seeking care.

I just got off the phone with a health insurance company. After navigating the computerized call screener with our tax ID number; the patients ID number, and the patients SS number I was permitted access to a Human. The Human Christy asked me my name and my call back number and the patient ID number. The Human Christy ascertained that the policy had termed 12/09 because coverage had been transferred to another company. The Human Christy then transferred me to Bobbie at the new company, who asked me my name and my call back number and the patient ID number and informed me the mental health coverage was handled in Philidephia. She transferred me to the Human Jeffrey who asked me my name, call back number, patient ID number and then informed me the benefits were handled by a special unit in Philadelphia. The Human Jeffrey transferred me to Samantha who asked me my name, call back number and patient ID number - I can't even remember now why Samantha transferred me to another Human named Shane. Shane asked me my name, my call back number and my ID number.

Shane was then able to tell me the effective date of the members coverage; how many visits per year they are permitted and the co-pay amount. Shane informed me there was no deductible but a $4000 out of pocket limit. Shane informed me that the patient's PCP must send them a MDIPA referral form for the patient to get their maximum benefits. After the PCP has sent the form, I am to wait 3 business days after which time I can ring back another phone number and obtain authorization for services.

This took 22 minutes and 21 seconds. I now have to ring back the PCP and tell them what they must do for the patient to get their coverage. I will wait three days and then spend probably another 20 minutes getting authorization.

Ah god.. this makes the NHS look like gods that could do no wrong! The system back home isn't great but I'm glad is isn't as run down and cannibalized by the capitalists as the one in America.

[Pinocchio Liberal 268]

Call the IRS and see how much time you spend on the phone. If you hate your job you should quit.

[one...two...tree 2,762]

Call the IRS and see how much time you spend on the phone. If you hate your job you should quit.

She didn't say she hated her job, dumba$$.

[Danno 1,228]

I am, at this very moment, at work - verifying insurance coverage for a patient seeking care.

I just got off the phone with a health insurance company. After navigating the computerized call screener with our tax ID number; the patients ID number, and the patients SS number I was permitted access to a Human. The Human Christy asked me my name and my call back number and the patient ID number. The Human Christy ascertained that the policy had termed 12/09 because coverage had been transferred to another company. The Human Christy then transferred me to Bobbie at the new company, who asked me my name and my call back number and the patient ID number and informed me the mental health coverage was handled in Philidephia. She transferred me to the Human Jeffrey who asked me my name, call back number, patient ID number and then informed me the benefits were handled by a special unit in Philadelphia. The Human Jeffrey transferred me to Samantha who asked me my name, call back number and patient ID number - I can't even remember now why Samantha transferred me to another Human named Shane. Shane asked me my name, my call back number and my ID number.

Shane was then able to tell me the effective date of the members coverage; how many visits per year they are permitted and the co-pay amount. Shane informed me there was no deductible but a $4000 out of pocket limit. Shane informed me that the patient's PCP must send them a MDIPA referral form for the patient to get their maximum benefits. After the PCP has sent the form, I am to wait 3 business days after which time I can ring back another phone number and obtain authorization for services.

This took 22 minutes and 21 seconds. I now have to ring back the PCP and tell them what they must do for the patient to get their coverage. I will wait three days and then spend probably another 20 minutes getting authorization.

Ah god.. this makes the NHS look like gods that could do no wrong! The system back home isn't great but I'm glad is isn't as run down and cannibalized by the capitalists as the one in America.

Speaking of NHS, did you see that report on how much was spent just doing sex-change operations?

Multiple millions.

Or how bout the pervert who raped the little girl getting Viagra to keep it up.

Who do they cut off? Oh thats right, seniors.

That was Breaking news yesterday how they are "hurrying" the dieing along.

[aidan80 9]

I am, at this very moment, at work - verifying insurance coverage for a patient seeking care.

I just got off the phone with a health insurance company. After navigating the computerized call screener with our tax ID number; the patients ID number, and the patients SS number I was permitted access to a Human. The Human Christy asked me my name and my call back number and the patient ID number. The Human Christy ascertained that the policy had termed 12/09 because coverage had been transferred to another company. The Human Christy then transferred me to Bobbie at the new company, who asked me my name and my call back number and the patient ID number and informed me the mental health coverage was handled in Philidephia. She transferred me to the Human Jeffrey who asked me my name, call back number, patient ID number and then informed me the benefits were handled by a special unit in Philadelphia. The Human Jeffrey transferred me to Samantha who asked me my name, call back number and patient ID number - I can't even remember now why Samantha transferred me to another Human named Shane. Shane asked me my name, my call back number and my ID number.

Shane was then able to tell me the effective date of the members coverage; how many visits per year they are permitted and the co-pay amount. Shane informed me there was no deductible but a $4000 out of pocket limit. Shane informed me that the patient's PCP must send them a MDIPA referral form for the patient to get their maximum benefits. After the PCP has sent the form, I am to wait 3 business days after which time I can ring back another phone number and obtain authorization for services.

This took 22 minutes and 21 seconds. I now have to ring back the PCP and tell them what they must do for the patient to get their coverage. I will wait three days and then spend probably another 20 minutes getting authorization.

Ah god.. this makes the NHS look like gods that could do no wrong! The system back home isn't great but I'm glad is isn't as run down and cannibalized by the capitalists as the one in America.

Speaking of NHS, did you see that report on how much was spent just doing sex-change operations?

Multiple millions.

Or how bout the pervert who raped the little girl getting Viagra to keep it up.

Who do they cut off? Oh thats right, seniors.

That was Breaking news yesterday how they are "hurrying" the dieing along.

Of course another American right wing expert on health care. I'm glad you've used the NHS.. compared it next to this pathetic mess you call heath care in the US and of course you love the American system better than that in Europe don't you? I don't know about you but back home I spent and hour or two waiting to see the doc, same as here only.. back home I didn't leave with a script for 10 different drugs that I really didn't need and I didn't have to make a copay or be limited on how many times I can see the doc or what services I can use!

Maybe you just watch fox news all day and read those stupid emails that go around... filling peoples minds with stupidity and fear! Maybe Europe should just get rid of socialised medicine and we'll all bend over and take it up the ####### from the insurance companies that financially rape people daily in this country. It's the classic case of the rich saying go fuk yourself and the poor trying to get what they are entitled to as human beings! Please tell me how does the average person in this nation afford healthcare if they can't get it from their employer? They don't do they where they do they end up spending more on insurance than they would on food! I've heard these lies about the "seniors" before.. does universal all of a sudden exclude old people? It must be in the fine print?.. universal health care for all**

**but not for old people!

God I listen to this ####### all day at work, listen to the apes run around themselves going on about big bad evil Obama talking to our children, we have to take them out of school so they can't hear any opinions that what we tell them or what drivel they are infected with at their "churches". These types of people are brain washing their own children because they have been brain washed themselves!

[Y's_habibitk 2]

Of course another American right wing expert on health care. I'm glad you've used the NHS.. compared it next to this pathetic mess you call heath care in the US and of course you love the American system better than that in Europe don't you? I don't know about you but back home I spent and hour or two waiting to see the doc, same as here only.. back home I didn't leave with a script for 10 different drugs that I really didn't need and I didn't have to make a copay or be limited on how many times I can see the doc or what services I can use!

thanks for that..really. I like to hear from people with experience who can compare the two.

[Empress of Groovy 373]

I am, at this very moment, at work - verifying insurance coverage for a patient seeking care.

I just got off the phone with a health insurance company. After navigating the computerized call screener with our tax ID number; the patients ID number, and the patients SS number I was permitted access to a Human. The Human Christy asked me my name and my call back number and the patient ID number. The Human Christy ascertained that the policy had termed 12/09 because coverage had been transferred to another company. The Human Christy then transferred me to Bobbie at the new company, who asked me my name and my call back number and the patient ID number and informed me the mental health coverage was handled in Philidephia. She transferred me to the Human Jeffrey who asked me my name, call back number, patient ID number and then informed me the benefits were handled by a special unit in Philadelphia. The Human Jeffrey transferred me to Samantha who asked me my name, call back number and patient ID number - I can't even remember now why Samantha transferred me to another Human named Shane. Shane asked me my name, my call back number and my ID number.

Shane was then able to tell me the effective date of the members coverage; how many visits per year they are permitted and the co-pay amount. Shane informed me there was no deductible but a $4000 out of pocket limit. Shane informed me that the patient's PCP must send them a MDIPA referral form for the patient to get their maximum benefits. After the PCP has sent the form, I am to wait 3 business days after which time I can ring back another phone number and obtain authorization for services.

This took 22 minutes and 21 seconds. I now have to ring back the PCP and tell them what they must do for the patient to get their coverage. I will wait three days and then spend probably another 20 minutes getting authorization.

Ah god.. this makes the NHS look like gods that could do no wrong! The system back home isn't great but I'm glad is isn't as run down and cannibalized by the capitalists as the one in America.

Speaking of NHS, did you see that report on how much was spent just doing sex-change operations?

Multiple millions.

Or how bout the pervert who raped the little girl getting Viagra to keep it up.

Who do they cut off? Oh thats right, seniors.

That was Breaking news yesterday how they are "hurrying" the dieing along.

My father-in-law got a kidney transplant at age 69 on the NHS after two years of dialysis treatments.

[rebeccajo 14]

Of course another American right wing expert on health care. I'm glad you've used the NHS.. compared it next to this pathetic mess you call heath care in the US and of course you love the American system better than that in Europe don't you? I don't know about you but back home I spent and hour or two waiting to see the doc, same as here only.. back home I didn't leave with a script for 10 different drugs that I really didn't need and I didn't have to make a copay or be limited on how many times I can see the doc or what services I can use!

thanks for that..really. I like to hear from people with experience who can compare the two.

There are a lot of people on Vj who left countries with nationalized healthcare systems - it's not hard to find out which systems they prefer. And I'm not saying that in a snarky way to you personally Lisa.

My own husband thinks that some of the care he has gotten here has been better, but that's because he likes the Doctor he has here in the US. She's a DO, and he originally became her patient when he first immigrated here. I was working in a small law office and there was no health insurance available there - Wes of course was not eligible for Medicaid. He qualified for services at the local privately run health clinic, and this Doctor donates her time there twice a month. Later on when we acquired insurance Wes entered her private practice. Now that we are without insurance again, she sees him for half price.

In Northern Ireland under the trust which ran the Health Centre in Londonderry and Altnagelvin Hospital, my husband says he always received good care. He is asthmatic, has high blood pressure and polycystic kidney disease. For any testing that could not be done at Altnagelvin, he would get on a bus and go to City Hospital in Belfast for those.

Once when my husband was hospitalized for an asthma attack, one of the doctors on staff diagnosed a hernia and told Wes he would get him an appointment for surgery. After several weeks of not hearing from the hospital, he went to his GP who told him he would get him an appointment. Still nothing happened, so my husband called the hospital himself and got put on a surgery 'cancellation' list. He was called for surgery a few days later.

[Y's_habibitk 2]

Of course another American right wing expert on health care. I'm glad you've used the NHS.. compared it next to this pathetic mess you call heath care in the US and of course you love the American system better than that in Europe don't you? I don't know about you but back home I spent and hour or two waiting to see the doc, same as here only.. back home I didn't leave with a script for 10 different drugs that I really didn't need and I didn't have to make a copay or be limited on how many times I can see the doc or what services I can use!

thanks for that..really. I like to hear from people with experience who can compare the two.

There are a lot of people on Vj who left countries with nationalized healthcare systems - it's not hard to find out which systems they prefer. And I'm not saying that in a snarky way to you personally Lisa.

well ya, its an excellent resource to hear personal experiences, not "scary" propagada stories.

[AlHayatZween 2]

Call the IRS and see how much time you spend on the phone. If you hate your job you should quit.

Funny, i've had to call the IRS before, spoke to real people and had the issue resolved in a matter of minutes.

On the other hand, i've been waiting 3 weeks now to see if my new insurance will cover my "pre-existing illness"... which is a BABY...by the way.

[KarenCee 3]

Call the IRS and see how much time you spend on the phone. If you hate your job you should quit.

Funny, i've had to call the IRS before, spoke to real people and had the issue resolved in a matter of minutes.

On the other hand, i've been waiting 3 weeks now to see if my new insurance will cover my "pre-existing illness"... which is a BABY...by the way.

Yeah, I had that issue too...I argued with them that it shouldn't be pre-existing because I didn't know it (the baby) existed when the insurance was applied for (through my ex's employer). The lady kept insisting that "it" was pre-existing...to which I asked her "Well, were YOU in the bed when the baby was conceived?"

The "pre-existing" condition was covered.

[AlHayatZween 2]

Call the IRS and see how much time you spend on the phone. If you hate your job you should quit.

Funny, i've had to call the IRS before, spoke to real people and had the issue resolved in a matter of minutes.

On the other hand, i've been waiting 3 weeks now to see if my new insurance will cover my "pre-existing illness"... which is a BABY...by the way.

Yeah, I had that issue too...I argued with them that it shouldn't be pre-existing because I didn't know it (the baby) existed when the insurance was applied for (through my ex's employer). The lady kept insisting that "it" was pre-existing...to which I asked her "Well, were YOU in the bed when the baby was conceived?"

The "pre-existing" condition was covered.

Thanks... Yes, i'm working through it...

Wish me luck!