Have I posted on how much I HATE the Idaho Medicaid system? Because I do. I realize hate is a strong... but oh yes! I HATE THEM!!! Let me tell you why...
Every little stinking thing on their claims has to 100% exactly the way THEY want it otherwise they deny it or send it back to you. And let me tell you, their demands are absolutely R.I.D.I.C.U.L.O.U.S.!!! You have NO idea!! If they are secondary to another insurance they have to go paper, on which you have to manually tally the unpaid amount from the other insurance to them. If the primary insurance is anything other than Medicare you have to have a referral from their primary care provider (called their "healthy connections provider") and have that provider and number listed on the claim. If they are the only insurance this "healthy connections provider" also has to be on it. If you don't have the physical referral form in your posession and they audit you, you are SOL and they will take back the money. If the claim is even slightly off-centered and the numbers/ letters/ etc are even partway outside the box they need to be in, they deny it (most insurances aren't that picky as their systems will still read the claim). No staples are allowed. No folding either.
UGH! Sorry about the vent session but I recently had to REDO a bunch of claims for them that were originally filled out incorrectly by another lady in our office (who didn't know better). They now are telling me they were not filled out correctly again. MY ASS THEY WEREN'T!! I filled them out myself AND took copies so I know what was sent! So now I have to do them ALL over again... there were over 100 of them.
Ugh! Yay for Monday... maybe I can forget about this over the weekend...
1 comment:
I'm right there with you - I hate insurance companies. Can't stand them. I probably hate them more than the IRS - and that says a lot. Worse yet, I hate the people who WORK at those insurance companies because they're all incompetent idiots in my opinion.
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