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Old 10-26-2011, 10:40 PM
Janke Janke is offline
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Join Date: Sep 2008
Posts: 686
15 yr Member
Janke Janke is offline
Member
 
Join Date: Sep 2008
Posts: 686
15 yr Member
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Quote:
Originally Posted by LIT LOVE View Post
I'm glad you had good experiences with the 800#.

BUT, it is only that, your experience. And your experience goes against what experts in the field advise.

http://ultimatedisabilityguide.blogs...-security.html
You wouldn't ask the receptionist in your doctor's office to interpret your X-ray. An LVN may have a better idea, but could still be wrong. The RN probably knows more than he/she would be willing to admit, but won't do it because it is the job of the radiologist.

The radiologist might be able to record your visit to the office in the electronic record with a little training, but he/she should be interpreting X-rays.

Expecting the 800# TSR's to be able to read a crystal ball and tell you when another component will finish and what the answer will be is just asking too much. However, expecting them to interpret what HAS happened, is reasonable. Expecting the adjudicating staff, the claims reps in your office, to answer phone calls about office hours, making appointments, etc. takes them away from doing the job they are trained to do - processing claims.
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