Have any of you noticed where communications seem to get stuck in transit? I've noticed that the intermediaries delay work the longest. 1. Receptionists: By and large, some of the most difficult people to work with, considering that they usually don't have any medical education. I recently had to spell "BUN" to a receptionist to have it pulled out from records. 2. Ancillary/Support Personnel: I work in a pharmacy. The only qualification to be a pharm tech is to have a high school diploma and be 18. When we receive doctors' calls, it almost always has to be transferred to a pharmacist due to lack of knowledge. CPhT's are better, but sometimes the message is garbled in transition. 3. Insurance: For a guaranteed waste of time, try calling Cigna, Aetna, or any of your favorite HMO's and request a prior authorization. I have a feeling that they deliberately make it as unfriendly as possible to cut down the number of claims. I realize that this is due to the time crunch around everyone, but still, there has to be something that can be done to alleviate a potential systems collapse. This is not a rant aganist any of these groups; their work standard does not include judgment. It may be the lack of trained auxilary personnel that is causing the problems.