May 27th, 2010

Bad Kitty

We don't cover that doctor!

This is kind of minor but it was annoying as hell.

I finally decided to get a new primary care physician (I had still been seeing my old doc, driving 45 minutes to another state for yearly physicals five years after I moved!).

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tldr: It takes three calls to my insurance company before I finally find someone who will admit that they actually do cover the new doctor I want to start seeing.
Excuse Me?

(no subject)

  A little background - I have a brain tumor.  Because of location and lad di da they could only remove 80%.  It is benign so I just see a dr ever 6 months or so.  So this past Tuesday, I got a horrific migraine.  Medicine was not helping and I started throwing up so much I ended up curled up on the bathroom floor dry heaving and without enough energy to do anything.  To top it off, I have a 2 year old.  I had to call my husband to leave work early.  I noticed not long after this episode, the left side of my face went numb. Not a stroke, promise.  It just means that the tumor is probably pushing on nerves again which means it has probably grown some.  I called the neurologist's office at 4.  I left a message and let them know how urgent it was.  I did not go to the ER because there are not any hospitals nearby that can deal with my current situation.  

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tl;dr  A patient with a known brain tumor exhibits serious symptoms of regrowth and can't get the neurologist office to return calls and they are snotty when they do and refuse to schedule me for a *month*.

Edited because I forgot to put under a cut.  Sorry.  :(

Somehow the hospital doesn't know how to properly bill my insurance...

For the record, I'm three months pregnant. As many people probably know, the chance of miscarriage is greater in the first trimester. 5/4/10, I was having cramping and spotting, enough that the hubby took me to the ER at about 2 am. The ER itself, doctors, radiologists, all that, were great. No issues with them, and was in and out in about 4 1/2 hours with discharge instructions, etc. No miscarriage, thank God.

The problem is not with the people in the ER...it's with the hospital not billing my insurance. They took TWO copies of the insurance card...one at the admitting desk, one with the patient advocate. Two weeks later, I get a bill from Legacy Health System, saying that we owe $2472 for the visit.

I called our insurance a few days later to make sure they had the claim and to find out how much we will owe after they pay. They didn't have the claim. Called Legacy on 5/14. They don't have my insurance on file!
I gave them the member id number on the card and all is well. Except NOT.
Called insurance this past Monday to make sure they got the claim. They don't have it. Called Legacy AGAIN. They said they sent it on the 18th. Considering that my insurance AND Legacy are both located in Portland, OR, it does NOT take four days or longer to get from one to the other. Then it turns out Legacy has the WRONG MEMBER ID. Got it fixed, instructed them to call my insurance and fax the documentation, because at this point this is getting ridiculous.

Got the bill for the ER physician this afternoon. $617. In the place where it says insurance? It says it was CASH.

I call my insurance tomorrow to make sure they got the claim. Then I call the people that represent the doctor to give them the insurance information. Then I plan on calling Legacy Billing Services and demanding to speak to their supervisor. They fucked up and they damn well better fix it...because they HAD THE INSURANCE CARD COPIED AT THE HOSPITAL!

ETA: called Providence this morning, and shocker. They still haven't received the claim. Called Legacy Billing Services for the fourth/fifth time in a couple weeks; they tell me it was faxed yesterday with a confirmation and confirmed phone number. Providence checked all faxes-not there. Was told by a rep "I understand you want to blame someone" and asked to speak to their supervisor. Left voicemail for supervisor and called another company to get the bill for the ER physician straightened out. Imagine my surprise when I give the account number and the woman says "Oh! I just got a call from Legacy, they gave me your insurance information!" The woman who called? The same one that said I wanted to blame someone. Apparently Billing Services CAN call, they just don't want to, it seems.
  • Current Mood
    pissed off pissed off
sewing

(no subject)

I had to get a new computer this morning since Dell apparently can't make disc drives that last longer than 1 1/2 months (while bad, that's not the suck). The new comp. wasn't registering my wireless adaptor, nor the wireless software, so we called tech services to get it to work. **This is all relayed to me from my dad, and what I could make out from our overly loud phones**

At first, he had my dad going from his computer (upstairs) to download a driver, downstairs to my computer to plug in the adaptor and vice versa. When my dad would ask him what he wanted him to do, the guy would tell my dad to download the driver on my computer. Yeah, awesome, except I don't have internet on my computer...THAT'S WHY I'M CALLING YOU! This went on for about 15 minutes, until either the guy understood, or he gave up on that idea.

Then, his next genius idea was to have my dad do something in the device manager. Great. Except, he kept telling him to go to a folder that wasn't there. My dad would say that he didn't have that option, and they'd go back, and do the same thing over again. This was repeated at least 5 times.

Now, at various times throughout the call, my dad has asked to speak to a different tech because a) he couldn't understand him most of the time, and b) it was obvious the guy had no idea what he was doing. We've done this before, and usually its no problem. The guy would follow these requests up with another plan to try and get the wireless to work. Finally, my dad got fed up and asked to speak to a manager, and the guy refused. My dad took down his ID number and hung up on him after that.

Normally the people we get when we call in are great. Really helpful people, call back the next day to make sure everything is still working. Awesome people. But this one was just horrible!

More Fail from my local KMart

Here on Staten Island we have two KMarts, one near the Mall and the other along one of our larger main streets. For the few locals in this comm, I'm speaking of the Mall one.

My friend and I have had issues with this Kmart in the past. Two examples:

Human Error: I was buying Jones Soda Halloween flavors back in October. They came in packs (the plastic ring joiner kind, not in boxes) of four. One of the flavors didn't have a full pack of four, rather someone removed two soda cans each from two four packs. We still wanted to try that flavor, so I picked up the two left. Two packs that usually held four, but now held two apiece.

The cashier tried to charge me full price on both the damaged packs. When I asked about it, he just sent me down to CS where my money was refunded. No issues, so it wasn't as if it was store policy to have charged me the full price for both.

Computer error: Two nights in a row I was there with friends. Both nights we bought a DVD from the $5 bin. Both nights they attempted to charge me and my friend the full price of a normal dvd, around $14 or so.

These are just to show you I have reason to be wary of purchases I make at this location. This is why my distrust of this store is so obvious in my main story.

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Teal Deer: Kmart messes up a sale item and may have tried to cover it up. Any other suggestions?
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    confused Extremely confused