Insurance company asking for full name?

[Digsbe]

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Called an insurance company to reverse a claim. We billed a medication to see if it was covered (cream vs ointment), then deleted it. When trying to reprocess the claim was still in existence on their end. I called the insurance to have the old claim reversed as it hadn't been done. They said they'd need my full name and asked if I was the pharmacist on duty before they could reverse it manually. Has anyone ever had this happen before?

 

[wagrxm2000]

People give their actual name to insurance companies? Jugs McBulge

 

[Old Timer]

Called an insurance company to reverse a claim. We billed a medication to see if it was covered (cream vs ointment), then deleted it. When trying to reprocess the claim was still in existence on their end. I called the insurance to have the old claim reversed as it hadn't been done. They said they'd need my full name and asked if I was the pharmacist on duty before they could reverse it manually. Has anyone ever had this happen before?

Lincoln, Abraham. Any questions, your parents were history professors.....

 

[Digsbe]

Lincoln, Abraham. Any questions, your parents were history professors.....

In my naivety I gave it to them thinking it would be "fraud" not to in a sense. I just found it strange they asked for my full name and if I was the pharmacist on duty. I never experienced this as a tech either when trying to reverse a claim.

 

[Old Timer]

In my naivety I gave it to them thinking it would be "fraud" not to in a sense. I just found it strange they asked for my full name and if I was the pharmacist on duty. I never experienced this as a tech either when trying to reverse a claim.

Have to learn to think more quickly on your feet.

 

[Digsbe]

Have to learn to think more quickly on your feet.

From now on I'm John Q Public, but any reason why they would ask for a name of the pharmacist on duty for a claim reversal?

 

[Ackj]

From now on I'm John Q Public, but any reason why they would ask for a name of the pharmacist on duty for a claim reversal?

Same reason you ask anybody's name when you call for a clarification. "Confirmed this is correct per Mary 4/28 @3pm"

 

[Digsbe]

Same reason you ask anybody's name when you call for a clarification. "Confirmed this is correct per Mary 4/28 @3pm"

Maybe so... I'm just hoping its nothing negative in regards to trying to run a claim for a patient to see if an alternative is covered.

 

[owlegrad]

Maybe so... I'm just hoping its nothing negative in regards to trying to run a claim for a patient to see if an alternative is covered.

Could have just as easily been an accident to select the ointment rather than the cream so you need It reversed to correct the mistake.

Sent from my SAMSUNG-SM-G920A using SDN mobile

 

[Digsbe]

Could have just as easily been an accident to select the ointment rather than the cream so you need It reversed to correct the mistake.

Sent from my SAMSUNG-SM-G920A using SDN mobile

We had scripts for both a cream and an ointment. Patient was asking us to see which was covered and the issue was with swapping between the two. I don't really see how they could have an issue with it since at the end of the day only 1 paid claim for a prescribed drug was dispensed. I just found it silly they'd ask for the "pharmacist on duty" name to reverse a claim manually.