Occasionally we get faxes from several internet pharmacy's (mail order meds) requesting an approval for X, Y, or Z medication. My job is to put that into the system, label the fax with the initials of the proper vet, and then stick it into a box for them to get and either approve or deny.
So, earlier this week we got a request for a heartworm medication for patient Dawg.
It was for a 12-pk (so one year's worth.)
It got handed to the doctor, who said, "No can do. Dawg is due for a heartworm test in October. However, they can dispense the 6-pk." Doctor writes the denial and the reasoning, as well as the approval for a dispensing of a 6-pk if the owner chooses to order that instead.
Today I get a request for Dawg, for the heartworm medication...for the 12-pk again. I look into our notes and find the notes from the doctor about the test being due, etc. etc. I resend the previous denial and the approval for a 6-pk.
Ten minutes later...
Request for Dawg, for the heartworm medication, for the 12-pk.
Me: ... *eye twitch. Eye twitch.*
Just reminded me of the SCs who will keep asking the same exact question as if expecting a different answer or the stock to magically appear.
I'm just waiting for them to call me so I can be like, "Look. We already denied this, we gave you the reasoning. Resending us the same request again and again isn't going to work. Unless you keep doing it all the way through to October and after Dawg gets his heartworm test. THEN we'll approve it if it comes up negative."
(The reason dogs must have an updated heartworm test that came back negative {so no heartworms!} is that if they get heartworms/have heartworms and they start in on the medication {like Hartgard etc.} it will kill them. The dog, not the heartworms. Dog needs to be heartworm free in order to be given the preventative.)
So, earlier this week we got a request for a heartworm medication for patient Dawg.
It was for a 12-pk (so one year's worth.)
It got handed to the doctor, who said, "No can do. Dawg is due for a heartworm test in October. However, they can dispense the 6-pk." Doctor writes the denial and the reasoning, as well as the approval for a dispensing of a 6-pk if the owner chooses to order that instead.
Today I get a request for Dawg, for the heartworm medication...for the 12-pk again. I look into our notes and find the notes from the doctor about the test being due, etc. etc. I resend the previous denial and the approval for a 6-pk.
Ten minutes later...
Request for Dawg, for the heartworm medication, for the 12-pk.
Me: ... *eye twitch. Eye twitch.*
Just reminded me of the SCs who will keep asking the same exact question as if expecting a different answer or the stock to magically appear.
I'm just waiting for them to call me so I can be like, "Look. We already denied this, we gave you the reasoning. Resending us the same request again and again isn't going to work. Unless you keep doing it all the way through to October and after Dawg gets his heartworm test. THEN we'll approve it if it comes up negative."
(The reason dogs must have an updated heartworm test that came back negative {so no heartworms!} is that if they get heartworms/have heartworms and they start in on the medication {like Hartgard etc.} it will kill them. The dog, not the heartworms. Dog needs to be heartworm free in order to be given the preventative.)
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