Our tech team has launched updates to The Nest today. As a result of these updates, members of the Nest Community will need to change their password in order to continue participating in the community. In addition, The Nest community member's avatars will be replaced with generic default avatars. If you wish to revert to your original avatar, you will need to re-upload it via The Nest.
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Oh Triwest CSR
I had to do a well woman exam at Planned Parenthood recently so I could get approved to do a special medical thing for my OCS package. I went to PP because it was faster than getting in at the Naval Hospital. PP was on the phone with Tricare making sure that they coded my visit correctly. I just got a message my claim was denied because that PP isn't an authorized provider. I called Triwest to see if I needed to do anything to get PP to provide the proper authorization info. Here's what Triwest Tim said, "Let me explain it to you, it's a very confusing code [it's not]. It would be like if I, Tim, saw a neighbor child fall out of a tree and break his arm and I fixed it with duct tape and tried to charge Tricare. They'd say, 'Oh no Tim. I don't think so. You're not an authorized provider.' "
I said to Triwest Tim, "Uh. No Tim. Planned parenthood employs doctors, I don't think you're a doctor. In the future, please don't compare you applying duct tape to the free medical care that PP provides and provided me for the 6 years I was uninsured. Now what do *I* need to do to resolve this, anything, or will PP take care of it on their end? "
I was polite in tone, but I'm annoyed. I get that he has to tell people very simple and basic stuff all day every day, but I didn't ask for an explanation of the code, nor did I care for that comparison.
Re: Oh Triwest CSR
This is so true. When I worked in referral management we would often call Triwest for patients when they had issues. I would seriously talk to one person, hang up, call back and talk to another and get a completely different answer. They have reference numbers (to log in the conversation) related to the calls. I would ask for it so when/if you have to call back, the new Triwest rep. can refer to whatever BS you were previously told.
Soooooooo true.