Re: RX billed to an incorrect insurance
by PsychoSekc - Posted Wed October 28, 2009 @ 6:33 PM
If you changed insurances, did you inform the pharmacy of this by showing them the new card and requesting that the new information be put into your profile and the old insurance information be removed?
When you picked up prescriptions after the expiration date of your old insurance, did you check to make sure the correct insurance was billed?
The reason I ask is because a lot of patients do not think to show the new insurance card to the pharmacy and assume that it automatically updates in their system. The reality is that it does not and unless you inform the pharmacy of the change and show them the new insurance card, problems like this can happen.
When you're picking up a script, it's also important to ask the pharmacy staff if the correct insurance was billed. While most insurances will reject a claim if the policy is expired, there are those rare insurances that will pay for a claim but hunt you down in the end for payment.
In the end, this situation can happen at *any* pharmacy. The pharmacy really has nothing to do with insurances and their policies. All they do is submit a claim and they go by what the insurance sends back. Unless the insurance sends back a "coverage expired" rejection, the pharmacy has no clue that your policy is truly expired and they should not be billing that insurance.