fun with appointment schedulers....
Jul. 21st, 2005 02:06 pm![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
fiberaddictso. got home last night to find a message from the ortho's office. they left it at noon. at my house. grrrrrrrrrrr.
*ahem* anyway...i call them this morning. the receptionist tells me that, because it is worker's comp, my insurance won't pay and i can't come in. i tell her, no, it's not w/c, where did you get that idea, i *fell* for pete's sake...let's get this party started. she stutters, then tells me to call back and speak to the scheduler.
so, i did.
scheduler: it's w/c, and we don't take w/c, and you need to call the w/c doc
me: so, you're refusing me service, yes?
s: ...............
m: because, if so, i need to notify my insurance carrier and my attorney. the sooner the better, because i need to get this wrist looked at.
s: no, i'm not refusing service *small laugh* it's just that your insurance won't pay for a w/c claim.
m: who said it was w/c? i fell on monday the er told me to contact you. after they said it was a miner sprain. it's not - it's either broken or torn. my insurance doesn't even know about the wc claim.
s: .............
s: oh. um. see, your chart says w/c and we
m: (interupting) yes, but that was for the ct. this is not - i.fell.on.monday. i landed.on.my.hand. it popped. and burned. the fingers are *numb* and unmoving. there is constant pain.
m: i *never* informed my insurance carrier about the ct. i went straight thru w/c. my insurance doesn't *know* jack.
s: oh. so, why didn't you call dr. s - he's the one seeing you for the ct.
m: because he's a jerk and - wait. you don't need to know that. the quack at the er told me to call *you*. so i did.
s: quack? *laugh* why ever
m: (interupting again) because he diagnosed my son with bronchitus and gave him *nothing* and the ped was *this*close* to admitting him to the hospital with pneumonia 2 days later. my ped is *pissed* at your hospital, and i am too, now.
s: oh.
s: ......
s: so, ok, come on in tomorrow. we'll treat you like a new patient, but if your insurance refuses to pay it's not our fault.
m: they have no reason to refuse unless you *claim* it's w/c. which you *can't*, because i *fell* on *monday* and landed.on.my.wrist. it has *nothing* to do with the ct. i think it's either broken or torn.
s: oh. i didn't realize that it might be fractured.
s: um....did you get xrays?
m: umm - *yes*. at the er. on monday evening. after i fell.
s: you'll need to bring them to us. *we* can return them, but we can't get them for you.
m: (wtf?) sure. no prob.
so, i call the hospital...*that* was a load of fun!
m: i was in monday night to have my wrist looked at. i need to pick up the x-rays for the ortho, please.
hospital: are you seeing dr. v? because we can fax the results over to him if his girl will call.
m: (hysterical laughter) oh, no - see, they tell me you *can't* do that - i have to do it! (snerk, giggle)
h: oh...errrr....*oh*! does he need to see the films?
m: y-e-s.
h: oh, ok. your name? how do you spell that? um, what was that? err....i'm sorry, can you spell that again (for *5*.freaking.minutes. i kid you not)
m: so, when and where can i get these?
h: here, and in 30 minutes.
m: ummm..ok..you are *where*? and i'll be picking them up tomorrow am, before my appt.
h: (gives really stupid directions that i do *not* understand, and will have to get a sherpa to tell me exactly *where* he is) ok, we'll see you in a bit.
m: no, you'll see me *tomorrow* morning. before my appointment.
h: oh, ok.
any bets on them trying to bill it as w/c tomorrow????
*ahem* anyway...i call them this morning. the receptionist tells me that, because it is worker's comp, my insurance won't pay and i can't come in. i tell her, no, it's not w/c, where did you get that idea, i *fell* for pete's sake...let's get this party started. she stutters, then tells me to call back and speak to the scheduler.
so, i did.
scheduler: it's w/c, and we don't take w/c, and you need to call the w/c doc
me: so, you're refusing me service, yes?
s: ...............
m: because, if so, i need to notify my insurance carrier and my attorney. the sooner the better, because i need to get this wrist looked at.
s: no, i'm not refusing service *small laugh* it's just that your insurance won't pay for a w/c claim.
m: who said it was w/c? i fell on monday the er told me to contact you. after they said it was a miner sprain. it's not - it's either broken or torn. my insurance doesn't even know about the wc claim.
s: .............
s: oh. um. see, your chart says w/c and we
m: (interupting) yes, but that was for the ct. this is not - i.fell.on.monday. i landed.on.my.hand. it popped. and burned. the fingers are *numb* and unmoving. there is constant pain.
m: i *never* informed my insurance carrier about the ct. i went straight thru w/c. my insurance doesn't *know* jack.
s: oh. so, why didn't you call dr. s - he's the one seeing you for the ct.
m: because he's a jerk and - wait. you don't need to know that. the quack at the er told me to call *you*. so i did.
s: quack? *laugh* why ever
m: (interupting again) because he diagnosed my son with bronchitus and gave him *nothing* and the ped was *this*close* to admitting him to the hospital with pneumonia 2 days later. my ped is *pissed* at your hospital, and i am too, now.
s: oh.
s: ......
s: so, ok, come on in tomorrow. we'll treat you like a new patient, but if your insurance refuses to pay it's not our fault.
m: they have no reason to refuse unless you *claim* it's w/c. which you *can't*, because i *fell* on *monday* and landed.on.my.wrist. it has *nothing* to do with the ct. i think it's either broken or torn.
s: oh. i didn't realize that it might be fractured.
s: um....did you get xrays?
m: umm - *yes*. at the er. on monday evening. after i fell.
s: you'll need to bring them to us. *we* can return them, but we can't get them for you.
m: (wtf?) sure. no prob.
so, i call the hospital...*that* was a load of fun!
m: i was in monday night to have my wrist looked at. i need to pick up the x-rays for the ortho, please.
hospital: are you seeing dr. v? because we can fax the results over to him if his girl will call.
m: (hysterical laughter) oh, no - see, they tell me you *can't* do that - i have to do it! (snerk, giggle)
h: oh...errrr....*oh*! does he need to see the films?
m: y-e-s.
h: oh, ok. your name? how do you spell that? um, what was that? err....i'm sorry, can you spell that again (for *5*.freaking.minutes. i kid you not)
m: so, when and where can i get these?
h: here, and in 30 minutes.
m: ummm..ok..you are *where*? and i'll be picking them up tomorrow am, before my appt.
h: (gives really stupid directions that i do *not* understand, and will have to get a sherpa to tell me exactly *where* he is) ok, we'll see you in a bit.
m: no, you'll see me *tomorrow* morning. before my appointment.
h: oh, ok.
any bets on them trying to bill it as w/c tomorrow????
![[identity profile]](https://www.dreamwidth.org/img/silk/identity/openid.png){kind=small}
no subject
Date: 2005-07-21 07:46 pm (UTC)Honestly.... They couldn't organize a piss-up in a brewery if you gave them a tapped barrel and a tray of glasses.
no subject
Date: 2005-07-21 11:20 pm (UTC)thank you for this! i needed the laugh!
no subject
Date: 2005-07-22 12:18 am (UTC)Oh Wow
Date: 2005-07-21 08:14 pm (UTC)Kae
Re: Oh Wow
Date: 2005-07-21 11:21 pm (UTC)i sat there gawking.
seriously.......:head shake:
Re: Oh Wow
Date: 2005-07-22 12:17 am (UTC)Or rather *headkeyboard* (I really do have to make that icon of a bemused face with "QWERTYUIOP" imprinted backwards across the forehead.)
no subject
Date: 2005-07-21 11:06 pm (UTC)freakin' morons. I'm taking bets on the mis-diagnosis sooner than I take bets on the w/c filing.
*HUG*
no subject
Date: 2005-07-21 11:24 pm (UTC)i mean, if the er quack claims it's just a "mild sprain".......i can only imagine what diagnosis i'll get tomorrow.
according to dr. google, there's a 95% chance that's it's broke. there's a 90% chance that it won't show up on the x-rays. (the percents are approx. - most of the sites i hit said that "a majority" and "most" and "almost always".)
i just can't *wait* to hear what they say!