Unfiltered Story #193851

, , | Unfiltered | May 7, 2020

(I work in a call center for a health insurance company. I mainly deal with providers calling in about claims or member policies. This particular call, I was attempting to locate a claim for a provider. I had found a claim, but needed to verify the information first.)

me: what is the rendering provider’s name on the claim?
caller: *gives facility name and NPI*
me: who was the RENDERING provider on that date?
caller: *gives same facility name*
me: it’s showing an -individual-, rendering provider on this DOS. Can you tell me their name?
caller: *gives slightly different facility name*
me: *mentally slams my face against the keyboard*….I apologize, but I cannot go any further into this claim if I cannot verify the RENDERING provider name and NPI number.

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