Sunday, April 15, 2007

"No" means NO.

One of the unfortunate things about my job is that I cannot do a single thing about claims. I cannot tell anyone the status of a claim. I cannot reprocess a claim. I cannot even say whether a claim has been received. This is because I am not in the claims department.

My department never closes. The claims department does. When the claims department is open, I can transfer callers to a real live person over there. When the claims department is closed, not a single real live person is there to receive the transfer. And the only thing I can do is say to wait until the next business day--which can be a tall order if it's 7pm on a Friday night.

I don't know why it is so difficult for people to understand that I can't view their claims information. I get at least three calls per day that go like this:

caller: I am calling about a claim that my doctor submitted three months ago.
me: I'm sorry, I can't see any of your claims information. The claims department is open Monday through Friday, from...
caller: But my doctor sent in this claim three months ago and it hasn't been paid yet.
me: I apologize for the delay, but as I said I do not have access to any information about your claims.
caller: What do I have to say to get you to pay my therapist?
me: Please call back when our claims department is open and they will be happy to assist you.
caller: But why can't you help me with my claims?
me: Because I am not in the department that handles claims. That department is closed right now.
caller: Oh. Okay then, bye.

As you can imagine, I get very tired of saying the same thing over and over and over again. I probably say "I can't see any information about your claims" in my sleep. Sometimes I feel like I'm David Spade in that one commercial, except I'm not saying "NOOOOooooo!" for the passive-aggressive hell of it.

Mrs. Gerbil suggested that I come up with fun, creative ways to impart this information. Last night we came up with a whole slew while we were supposed to be sleeping.

Some of them were inspired by cheesy martial arts movies:

~ Your claims information is silent, like the ninja.
~ Your claims information is as the first crocus of spring, but it is still December.
~ Your claims information is as a deer, deep within in the forest.
~ Your claims information is as concrete shoes at the bottom of the Hudson River.

Some of them were inspired by television:

~ In the world of managed care, claims information is considered especially valuable. In this company, claims are handled by an elite squad known as the claims department. These are their hours...

Some of them were inspired by folk songs:
I cannot give you your claims status
I cannot do squat about claims
That's done by another department
So why are you talking to me, to me?
Call back, call back
Call back on Monday at six AM
Call back, call back
Call back on Monday at six.

And some of them were inspired by nursery rhymes:

Baa baa black sheep, have you any wool?
Yes sir, yes sir, but I don't have any of your claims information.

The man in the moon came down too soon
And asked the way to Norwich;
He went by the south and burnt his mouth
From eating your claims information.

Old MacDonald had a farm
And on his farm he did not have your claims information.

Alas, I don't think this would qualify as good customer service.


Heather W. Reichgott said...

Two roads diverged in a wood.
I am on one.
Your claims information is on the other.

Chip said...

What is crooked cannot be made straight
And what is lacking cannot be counted
And the @#%^&^$ claims department cannot be open

Chip said...

Ask not for whom the claims department is closed,
For it is closed for thee.

Chip said...

Thus spake Zathrus: “The claims department is closed.”

Chip said...

If you can speak on word of Zen, the claims department shall be opened. (not suitable for Zen monks and others reflecting the Buddha Nature)

Chip said...

The secret lies in the realization that there is no claims department. It is really you who is closed.

Mother Jones RN said...

Ask not what your claims department can do for you, ask what you can do for your claims department.... during normal operational hours.

Heheheh, I love this post.


Lea said...

Friends, Romans, Countrymen lend me your ear and take this down; The claims department is open Monday through Friday from 9 to 5.