RX billed to an incorrect insurance

I agree with both posts below, and I've seen this at the clinic I
work at. As patients, it's our responsibility to make clinics,
hospitals, and pharmacies aware of any insurances changes we have.

That being sad, did your old insurance company pay on the
prescription, and that is why they are saying you owe them? If you
weren't covered by them anymore, they should have caught that and not
paid. Ideally anyway. From my experience insurance companies hardly do
what is ideal!

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.

Did your insurance change, and CVS didnt know?



Good Day