The monks at Emory creating the Dalai Lama's mandala started this morning with about this much of the mandala created from the day before.
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It's interesting this business of filing insurance claims. One of the company's that I am dealing with has asked, on at least five occasions, for my pathology report. I have faxed it on at least five occasions to them. They just asked for it in writing. I got the email addy of the "Cancer Benefits" coordinator and I scanned the dang thing and e-mailed a copy of it to her tonight. I feel like they are stalling and delaying and just being incompetent. They have over $15,000 in claims turned in to them, so far, and the written response has declined over $11,000 as being outside the boundary of the policy coverage. They suggested I go back and read my policy. I'm like, "I'm sending you every bill associated with this cancer and you can decline it, but if it's cancer-related, I'm sending you the bill!"
If you mail them stuff, they scan it in and then discard the originals because they only work with electronic documents. If you fax things to them, some dope down in the "mail room" decides how much of any fax coming in is yours. So if you send a 27 page fax, and the dope decides that you sent in 14 pages, if the other 13 pages are not sent to be scanned you're just screwed. There is a 24 - 48 hour delay in getting documents into the system because they don't go to a specific person, they just get scanned and then when a person pulls up the electronic file, there might be 13 pages, or 1 page or no pages of what you faxed two days previous. It's such a hassle. I understand they want to be "efficient" and "paperless" but I'm about ready to reach through the phone and grab someone's genitalia to let them know I'm a serious woman!
If I made copies of everything and Fed Ex'd it to them, there's still no telling if the material would get scanned in by Mr. Minimum Wage in the mail room. Eric explained to me a concept called "escallation" within a company the other night. I'd never heard of it before, but I'm about to start asking for supervisors, and supervisors of supervisors. This is rediculous. Actually, I'm about to call the State of Georgia's Insurance Commissioner. THAT is who I'm going to get to chew their butt! I'll let John Oxendine's office do it. They don't get to NOT pay because they're incompetent. That's not an acceptable way of handling business.
My world is small, but I am not helpless.
2 comments:
Miss you. Enjoy your stories and humor. My thoughs and prayers are sent your way. I sure enjoy working with you. Sometimes I hold you up but many times we just hold each other up. Bye friend.
Thurman
What a champ - the mail lady! There are a lot of nice folks out there, "walking" in your behalf every day, all your friends and coworkers, you are truly blessed.
Have a great weekend!
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