Land Shark

So, background info is, there is a provider that is refusing to obtain a certain code that will get his claims paid. It doesn't matter what the code is, just know that you can get it online, and it takes about 20 minutes. When I was on the phones, this guy called non-stop for a good day or two yelling at us for requiring it, rather than just getting it. We told him how to get it, we told him he needed it to be paid. No dice.

So now in appeals, what comes across my desk, but his letter requesting a formal review of the file and payment of claims. Interesting. Anyone who has just read this comment is more than qualified to tell him what he needs to do to get paid.

Congradulations, all of you are now expertly trained in claims. And no, he isn't going to get paid, I denied him. Feels good...feels right.