Mary: "Can I get a copy of your insurance card?"
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."
Ready the flamethrowers:
ReplyDeleteNo lawyer I know of would ever stoop to something like this.
About once in a thousand times the hoops insurance companies make people go through turns out to be a good thing.
ReplyDeleteI know the lawyer involved. I doubt if he did. I think it's all the patient.
ReplyDeleteGlad Mary caught this scammer. I'm betting if she had asked for his lawyer's name, he'd have given you the name of one of those 'advertised on TV" guys!
ReplyDeleteWhat an unprintable mess this man is.
ReplyDeleteWay to go, Mary!! Nice catch!
ReplyDeleteDr. Wayoverthere's staff deserves some thanks.
ReplyDeletey'know it's 99.9% of lawyers that give the good ones a bad name
ReplyDeleteevery daY
ReplyDeleteall day long
and once a night
from dusk to dawn .....
Y'sure you didn't misspell "Mr. Cad"? :)
ReplyDeleteAs someone with both a medical and a law degree, I'm not at all sure which profession I like least when it's at its worst and prefer when it is at its best. Whip lash injury and similar litigation can bring out the worst in both professions...
ReplyDelete"You guys are trying to pull a fast one on me."...Projection much?
ReplyDeleteHoly...
ReplyDeleteHa!
ReplyDeleteHa!Ha!
Ha!Ha!Ha!
I love stuff like this. Good catch on the part of all staff members involved.
Maybe only half fast?
ReplyDelete