Ramblings: November 2007 Archives
I will first of say that I feel that I am one lucky guy. I have a great supporting wife and two wonderful healthy kids which I am thankful. What we've been going through lately is our son has somewhat of a speech delay that from everything that we've been reading about is most likely tied to the fact that he never crawled as a baby. At 10 months he popped up and started walking. There are studies that link ones speech development to the crossover motions that you get when you crawl as a baby. Well we're having to play catch up and he is going to Occupational Therapy once a week for an hour. The only issue is that this therapist is not on our insurance list nor do they submit claims to the insurance company. So this brings all the paperwork on myself. Every time we go I have to pay $80 bucks and then submit a claim form with the invoice.
Well I had done what I had been told my the insurance company to later find out we were missing the diagnosis codes.That took me two weeks to get that fixed so I had to re-submit 6 claims with the correct codes. Well a month later I call to check on the status. Well according to the lady on the phone they haven't gotten any new submittal forms from me... I went ballistic, all she would do would repeat what was on the screen. Round and round, she finally hung up on my since I basically told her that she can't help me that I want to talk with someone new. I called back and got a much nicer rep that told me that things can tend to get "lost" in the mail and that I should re-submit all the claim forms again. I grumbled and then asked if they have a fax #. She told me that she wasn't supposed to give it out but she gave it to me anyways.
This morning I send off 18 pages of claim forms and I'm hoping this is the end of them "losing" my submissions.
This is why I have a great dis-like for insurance companies. A word of advice to those that have to work with insurance companies. Challenge everything from them. If you don't like the response or the coverage, tell whomever you are talking to, to re-submit it. This has worked many times for us and instead of paying $1500 out of pocket for a procedure, I just had to pay $20 after I told them that I didn't like their response and to re-submit the claim.
Challenge everything!
Well I had done what I had been told my the insurance company to later find out we were missing the diagnosis codes.That took me two weeks to get that fixed so I had to re-submit 6 claims with the correct codes. Well a month later I call to check on the status. Well according to the lady on the phone they haven't gotten any new submittal forms from me... I went ballistic, all she would do would repeat what was on the screen. Round and round, she finally hung up on my since I basically told her that she can't help me that I want to talk with someone new. I called back and got a much nicer rep that told me that things can tend to get "lost" in the mail and that I should re-submit all the claim forms again. I grumbled and then asked if they have a fax #. She told me that she wasn't supposed to give it out but she gave it to me anyways.
This morning I send off 18 pages of claim forms and I'm hoping this is the end of them "losing" my submissions.
This is why I have a great dis-like for insurance companies. A word of advice to those that have to work with insurance companies. Challenge everything from them. If you don't like the response or the coverage, tell whomever you are talking to, to re-submit it. This has worked many times for us and instead of paying $1500 out of pocket for a procedure, I just had to pay $20 after I told them that I didn't like their response and to re-submit the claim.
Challenge everything!
As many of you know I ride the ACE Train to work and back. It's an interesting experience as there's every type of person on the train. Janitors, Principles, Helicopter Pilots, etc. You name it, we have it. There is a group of older men that like to play poker on the way home and this is serious as there is money involved. Sometimes you will see $20's change hand. The reason why I point out this group is that all of them, mostly over 45 or so, think it is necessary every time they get on to the train is to greet each other with a fist bump. It's somewhat comical since many of them hang their fist out there for 30 or 45 seconds trying to get a bump where in fact they just look silly with their fist hanging out there. I found this on YouTube... This would be interesting to see in real life.
I don't have many pet peeves, but one of my top ones is a "limp wrist" handshake. Come on now buddy, are you a dude or not. Shake my hand like you have some confidence. You never get a second chance to make a first impression.
I saw this article today and couldn't pass it up.
http://www.cnn.com/2007/LIVING/worklife/11/05/cb.hand.shake/index.html
