A list of puns related to "Wellcare"
Ok first things first, I have about 6 months of experience now as a receptionist at a behavioral health clinic that mainly does medication assisted treatment for opioid dependence patients. Billing isn’t my thing, I have no training on it. I only got one say of training for the receptionist job but I’ve taught myself and figured out things as I go. Everyone abandoned the place without notice before I was hired and I’m literally the only employee. (Providers and biller are contracted employees). No office manager, no medical assistants, nobody to help me.
Our biller is literally MIA and just disappeared so the owner is making me call the insurance companies about denied claims. I’ve spent way too much time on the phone with the stupid insurance companies and am getting nowhere so idk what else to do at this point. He told me to call back and ask to speak to the supervisor but I’m done. I already turned in my 2 weeks notice anyway, but the owner has been really good to me so I do want to help him if I can, but like this really isn’t my job at the same time lol.
Wellcare is denying claims for several CPT codes stating “code is not a covered service on your fee schedule”. For the same patient and same provider, Wellcare paid a claim for CPT 90832, then denied a 90832, then paid a 90832. So I don’t understand wtf is going on here. The person I spoke with said she doesn’t know either and gave me a reference number and said someone will call me, yeah right.
Does anyone have an explanation for the denial reason?
My best friend is in agonizing toothpain, and can't find a dentist that takes her insurance. Anyone know of an office that she can try and contact? Thanks!
I think I'm gonna pull my hair out if I have to call them again.
I'm generally very patient with customer service representatives but it's obvious that they have not been trained at all.
Anyone else having trouble with them since the Aetna conversion to Wellcare?
Come on. Where is the original content related to WellCare? Dump the unrelated advertising posts.
Well here's some information on WellCare.
WellCare has a mere 1.20 rating out of 5 stars on Consumer Affairs with 132 reviews. These negative reviews seem to relate primarily to customer support. Having signed up in early Dec. 2019, we concur.
Yet, Medicare.gov's reviews are better than most others.
We have been billed for both Dec. 2019 and Jan. 2020 even though we have letters (yes, more than one) issued by WellCare stating that the police takes effect Jan. 1, 2020.
We are in the process of attempting to correct this. The customer support individuals are clearly reading from scripts or FAQs on their end. After a lengthy wait and an equally lengthy conversation, one customer support person actually did NOT KNOW what an EFT was - it's an Electronic Fund Transfer, where payments are taken directly from a checking account or other account.
Their customer support personnel apparently are thrown into the fray without any training whatsoever. There are other issues as well, but that's enough for now (and we haven't even used them for a single event/office visit yet.
News: an Oct. 2019 Forbes article says that Centene Corp is purchasing WellCare and the transition should take place in the first half of the year.
Old News: a Dec. 2018 Health Leaders Media article says that WellCare acquired Aetna Insurance's Part D insurance plans (the prescriptions part of Medicare).
Hey everyone! Back again this week with the top healthcare stories. As always, let me know if you think I missed anything big:
That seems drastic.
This week, Rockland County, a suburb of New York, declared a state of emergency based on the rampant measles outbreak facing their county's population. The first step? Banning all unvaccinated children and teenagers from public places. This type of action is pretty unprecedented, but so is getting the measles. Although the measles vaccine is about 97% effective, only 72% of the Rockland adolescent population is vaccinated against the highly contagious disease. The ban comes at a time when measles cases through the first 3 months of the year have already outpaced last year's total reported cases altogether.
This week's hottest TV.
Tune in to the Senate finance committee hearing this Wednesday to see some absolutely heart-pounding, riveting, must-see TV. Last month in our March 4th edition, we covered lawmakers inviting drugmakers to Capitol Hill to ask why drug costs were so high. Those companies placed 100% of the blame onto pharmacy benefit managers (PBMs), who are basically the middlemen between the makers and the patients. Now, the Senate wants to ask PBMs some questions about their drug rebate practices and whether they're ACTUALLY saving patients money on drugs. Companies like CVS, UnitedHealth, and Cigna are preparing to get grilled come Wednesday, especially as Congress prepares potential legislation around abolishing drug rebate practices for good (paywall).
Fuel to the political fire.
As if declaring the Affordable Care Act unconstitutional weren't enough, the Trump administration has now declared its intent to [**completely repeal
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