OP said patient profile is litered with various pain meds in past couple years...
dont believe that translates to CONFLICTING narcotics on record. "various pain meds in past couple of years" could mean oxy 3 months ago, perco 5 months ago, tramadol 7 months ago, morphine last year, etc. etc. if you telling me the patient got these various pain meds in the past couple of weeks from different doctors and different pharmacies, then we have something to talk about
Let's assume that there are no conflicting narcotics on record but without a reasonable doubt, based on their history, they are trying to score narcotics.