What I hate is when the agents at the insurance companies basically repeat to you what the computer tell you.
A patient came in for a refill on Provigil, so we went to fill it. For some reason, a prior authorization came back on it, even though the claim went through the first time it was filled.
Here's the following conversation:
Insurance: Hi I'm Kelly, can I have your NABP/NPI and RX# in question.
Me: I give the information.
Me: Right, so I'm getting this message for a prior authorization on this ladies Provigil. She got it last month without a prior authorization, can you tell me why is there a prior authorization on it?
Insurance: There is a prior authorization on it.
Me: I already know that. Tell me why there is a prior authorization.
Insurance: Hold on one second.
Five minutes pass and I'm on hold.
Insurance: Okay sir, this prescription has a prior authorization on it.
Me (I snap): Are you ****ing kidding me? You spent 5 minutes just to come back and tell me the same thing you told me 5 minutes ago. I'm asking you why the **** is there a prior authorization on this prescription when it was filled last time you dumb ****. (At this point the customer is laughing out loud at my use of profanity against the insurance company agent).
Insurance: Umm, I don't know why there is a prior authorization.
Me: So why didn't you tell me that 5 minutes ago instead of wasting my time and coming back to tell me the same thing. Just override the damn prescription or give the phone to someone who know's what they are doing.
Insurance: I can't do that.
Me: You're a ****ing *******. I hang up.
I call back 5 minutes later, someone else picks up and tells me that there is only 1 fill allowed on that particular drug, then it requires a prior authorization but overrides it for me.