I already hate UHC because they manage my insurance (which is why my Advair script is $140 a month, and why I don’t take it anymore). Now, I have a new reason to hate them:

Last week on Thursday, we had a patient, (call her Ms. Goodman) call in her prescription for zonisamide #150 capsules. Of course, we didn’t have enough, so I asked her if she’d be willing to wait until Friday to pick it up. She was fine with it, so I processed the script and placed it on order.

When it came in, though, our supplier had switched us to a different manufacturer, so I had to back out the script, and rebill it for the corrected NDC.

A week rolls by, and we get a call from a frantic Ms. Goodman because she got a letter from UHC stating that we had billed them twice for the same medication, and if she actually got two fills, she owed them $139.

So, I called Medco, the company that processes prescriptions for UHC, where the nice Indian lady, after saying “Thank you for patiently waiting,” confirmed that the first claim was reversed.

So, I called UHC itself to see what was going on, and all they could tell me was that I had to call Medco.

So I hung up and called the patient to tell her what was going on. She told me she had called UHC and they told her that their system showed two claims.

Well, I called UHC again, and finally got someone to confirm that, but they told me I had to call Medco to have them retransmit the reversal. At this point I was ready to pull my hair out.

So, I called Medco again, and all I could get them to do was “document” the situation in their system, because “UHC should be able to see it in their system if I can see it in mine.” But he told me he would see if he could get someone to fix it.

I was at least able to get the rep’s name (Richard, if I were to actually believe him) and ID number, which I then gave to Ms. Goodman. She thanked me for everything I did, but I’m afraid it wasn’t enough.

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