Circular conversation II
He brings the pharmacy chick a prescription and smugly announces: “I want this filled, I called my insurance–they said its covered!”
My brain is thinking this is not covered
I take the Rx, process it and behold-”REJT” “ndc not covered on plan”
Pharmacy Chick’s brain: here comes the argument
“This is not covered by your insurance”
He looked at me as if I had just insulted his mother “I CALLED my insurance company, they said it was covered” a little vein popping in his forehead.
Here is where it gets complicated: This is a vaccine, a product and a procedure. I tried to explain that it may be covered 1) if he submits it manually or 2) if its done in a doctor’s office. BUT, its not covered as billed as a prescription.
He didn’t take this well–His doctor doesn’t carry the vaccine and he was in no mood to fork out the cash. I have him a copy of the rejection and told him that the rejection is now on file in his insurance company’s computer. He spits a few complaints and takes the rejection and leaves.
Buh Bye.