Oxford sucks, but not as much as OptumHealth Care, Inc.

Well, this morning, got up and called to confirm that OT was still happening.  I was told that someone would call if there were a problem with Oxford, and I didn’t hear anything, but didn’t want to make the trip over and find out there was a problem.  I spoke to someone at Rusk who said that approval was still pending, so I got on the phone with Oxford to find out what the status was, and they said that the request had been denied.  I asked why, and they said they didn’t know.  That I would have to call OptumHealth Care Solutions, Inc who handle their approvals.  Really?  She told me to give them the authorization number, and they would be able to explain why.  I pointed out the irony of calling it an authorization number, and got off the phone.  I called and found out that the Care in OptumHealth isn’t ironic, but a downright filthy lie.  The woman I spoke with said she couldn’t talk to me about David’s case unless he could give her verbal permission.  I explained that she should probably see this in his records, but Mr. Shapiro can’t speak.  She said she would be happy to mail me the form that he would need to fill out if he wanted me to speak to them about his case.  I asked to speak to a supervisor, and she said she would be happy to put me through to someone’s voicemail, but wouldn’t transfer me to a real person.  Care?  Next to OptumHealth, Oxford is Mother Theresa!

So, I got back on the phone with Oxford, after thanking the woman from OptumHealth for her assistance.  I told them that OptumHealth won’t speak with me, and I needed to find out what was going on.  She said that the form that was needed was submitted on Thursday and it takes 48 hours for approval and that it will be in by the end of the day. I mean, I get what their business model is – stall in the hope that we give up – but good God!  I told her that if there was a box that says the client will be persistent, she should make sure it is checked.

So, we had a nice quiet morning at home.  I did some work, we exercised and then in the afternoon, I had a dentist’s appointment.  I thought I was going to have a procedure done, but it was just preparing for it.  I will have it done next Wednesday.
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Yesterday, I talked about the list and something that David was trying to tell me, and I was relieved to have stumbled onto it today.  Antique’s Roadshow was the $40,000 answer.  When he wrote the list, and “A” was the letter he wrote, I did say Antique’s Roadshow, and David said no, but I blame myself for not coming around to it again.  It came out when I made a list of all the TV shows that we watch or talk about, and when I read the list, David motioned that this was the one that he was talking about.  Still not sure what the columns meant, but. . . mystery solved.

We watched Enlightened and The Good Wife, and I found both of them pretty satisfying.  Laura Dern had a line that I think summed up my day with the Insurance companies – “I’m just a woman who’s over it.”  Then, the blog, and the object (also appropriate for the day) Double-Headed Serpent, number 78.