Mr. Card: "Sure... here you go."
Mary: "Um, you told me on the phone that you were with Medicare, but this insurance is Major Illness HMO."
Mr. Card: "Sorry, I must have been confused. Can you still see me?"
Mary: "We need a referral authorization from your internist."
Mr. Card: "They said they'd fax one. It's Dr. Wayoverthere. You didn't get it?"
Mary: "No, let me call them." (dials phone) "Hi, this is Mary, at Dr. Grumpy's. He's a neurologist on the west side? One of Dr. Wayoverthere's patients, Mr. Card, is here, and says you were going to fax a referral?"
Dr. Wayoverthere's staff: "He's lying. He's involved in a legal case, and trying to find a neurologist to say he has problems since he was hit by a kid on a tricycle. We've sent him to 2 neurologists on this side already, who say there's nothing wrong with him."
Mary: "Okay, thank you." (hangs up phone)
Mr. Card: "Is it coming now? Can you see me?"
Mary: "They said they didn't refer you here."
Mr. Card: "Maybe they didn't. I remember now, my attorney sent me. Can you get an authorization from him?"
Mary: "No, your insurance won't accept that. If you or your attorney wants to pay for the visit we can see you, but without an auth from Dr. Wayoverthere we can't see you under your insurance."
Mr. Card: "I'm not going to pay for this. I'm out of here. You guys are trying to pull a fast one on me."