I usually love processing claims for Caremark. (About 20-25% of our claims are processed through them, thanks to the number of Federal government employees and State Medicaid beneficiaries we serve.)
They have easy to remember override codes for Vacation and Dosage Increase rejections, and if that doesn’t resolve the issue, they have a very easy to use voice activated IVR system.
I don’t love them so much when their computers go down. I was working a rare Saturday today, but nearly 20% of our prescriptions could not be processed because Caremark was down. About 12:30 I called and was told that they expected their systems to be up in about 2 hours.
At 2:30, I tried again and still no go. At 4:00, I called again and was told that they didn’t expect the systems to come back up until at least tomorrow (my emphasis on “at least”). I can only hope they come up by Monday, or we’re going to be in trouble.