Is this insurance fraud?

[farmadiazepine]

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Is it insurance fraud to take a prescription that was not picked up and sitting in the waiting bin for 14 days, reverse the claim, and then on that same day resubmit the claim with a new date of service so it can sit in the waiting bin for 2 more weeks?

 

[zelman]

Ithink it's not fraud per se. The 14 day time limit is not a legal restriction as far as I know. It's a corporate policy to avoid lawsuits for keeping claims for an undefined excessive period of time.

 

[All4MyDaughter]

Not fraud.

 

[owlegrad]

Annoying, time wasting, not fraud.

 

[ethyl]

People commonly do that at CVS to avoid having to make those first script pickup calls. Remove all the phone calls and get an automatic 100% for the day.

 

[Aznfarmerboi]

People commonly do that at CVS to avoid having to make those first script pickup calls. Remove all the phone calls and get an automatic 100% for the day.

I get my NSPU by putting scripts on hold if I know they wont pick it out (antibiotics, cashed out rx)... without declining it. I do call the customer though.