Receptionist at doctor's office

Discussion in 'Fibromyalgia Main Forum' started by blondie45, Oct 13, 2005.

  1. blondie45

    blondie45 New Member

    I am very, very irate at this time. I called 2 months ago or more to get into a rheumatologist, as I currently do not have one. My appointment is supposed to be tomorrow. Now today she calls and tells me that I cannot be seen without a referral. I had called my primary physician's office asking for a referral. I was told I did not need one as he was on the specialty list for my insurance, so I did nothing more about it.

    She also asks me if my doctor has done a workup. How and what do you do for a workup to see about fibro and if I should see a rheumatologist?

    Now they are more or less telling me I cannot be seen tomorrow if I do not get my doctor's office to get a referral faxed over to them today.

    Do they have any brains at that doctor's office? Why couldn't they have told me that I MUST have a referral when I made the appointment.

    I am sooooo fed up with trying to make doctor appointments (which I am sure I will not be offered any new helpful ideas anyhow) and trying to make sure all the i's are dotted, etc. for insurance!

    I just had to vent about this. Sorry!
  2. Tigger57

    Tigger57 New Member

    Keep calling your doctors office to get that referral over there. You can't postpone the appointment. Who knows when you'll be able to get in again.

    Don't let her bully you.
    Tigger
  3. orachel

    orachel New Member

    And ask to speak to the "office manager"...if all else fails, the director of practice. It is unacceptable that you were not told this during any of the intake paper work...months ago.

    I myself am doing "battle" with 2 of my current docs, and desperately trying to find a new pcp and rheumy or even family doc WHOS' WILLING TO LEARN AND WORK WITH ME to treat me for my fm, mps, cfids....ect.

    I'm fed up. Beyond fed up...I'm righteously indignant! Who the heck do they think they are?!

    But please, take advice from one who knows...don't act angry on the phone with the office manager, just act confused and scared that you might not get your appointment, and perhaps a bit frustrateed that they have this policy that noone told you about until a DAY before your appt. Both the doc that referred you and the doc you're trying to see should have known if this is the "procedure"...

    Sending you blessings....I've gotta go file for ssd, find a neurologist, find a neuropsychologist, and start looking for a new doc today. I'm putting it off by staying on here as quickly as possible.

    Oh, and icing on cake...just found out that my NECESSARY sleep study will cost me $400!!! OUT OF MY POCKET!!! WHICH CURRENTLY HAS 0 DOLLARS! lol....

    Gotta love the health care system we've got...but even sadder...many countries have it much much worse!
    AARGH! Where are the advocates for quality PATIENT CARE!!!

    Hugs,
    Rachel
  4. Mareeok

    Mareeok New Member

    to make a pest of yourself. Call a number of times a day till your doctor does SOMETHING such as calling the rheumy and get a verbal ok so you can go tomorrow. They have no excuse since this is their job and they know what to do. But it is a scenario that plays out every day all over the place. Tell them you are in too much pain and exhaustion to have this rescheduled.

    I'm so sorry you have to go through this. I am sending you prayers and good energy vibes.
    Hugs,
    Maree
  5. blondie45

    blondie45 New Member

    Thanks to all of you who responded. The receptionist called back and said she got the referral from my primary doctor. Geez, like I would make up the pain, etc. I feel and pretend I have fibromyalgia to want to see the rheumatologist. Give me a break!
  6. lurkernomore

    lurkernomore New Member

    Oh, I was sitting here breaking a sweat right along with you Blondie! It took me four months to get in with my rheumy and to get a call the day before and have me thinking I might have had to reschedule would have made me nuts!

    I am sooo happy that your doctor's office got on the ball and faxed over your referral so that you will be able to keep your appointment tomorrow! Now that gives me something to smile about today! I am so relieved for you! Yayyyy!
  7. blondie45

    blondie45 New Member

    Thanks so much all of you. Not sure what I would do without this site. I am not sure what if anything else the rhematologist can offer me over what I am already taking, but we will see. I am trying to remain optimistic if that is possible with this disease.
  8. landmag

    landmag New Member

    Blondie, you would be better off getting a referral to a pain clinic recognized by both your insurance company and your Doctor. A pain clinic will have access to the myriad of Doctors required to diagnose and treat FMS. This malady is so complex in its contributing factors that one specialist will more than likely not be able to help to satisfaction.
  9. blondie45

    blondie45 New Member

    I will keep that in mind if I get no new ideas tomorrow at my appointment. I know I did call a Pain Clinic around here once, and they said they only treat with NO medications. At that point I did not pursue it any further.
  10. Tigger57

    Tigger57 New Member

    I'm learning not to just accept things.

    I had a $3200 bill from surgery I had in March. I called the insurance company about a month and a half ago and they said my doctor was out of network. I had a PPO (not an HMO) and heck, it's called Coast-to-Coast for a reason. They said the doctor didn't take Blue Cross. Well, if that was the case, why did they pay any of it, and why did the doctor's office say I was approved?? Hmm?

    I called a coupld of days ago and spoke to someone else. She actually researched it and said I was right it should have been covered. I was worred sick because there was no way I had $3200. That was insane. And not to be told about it in advance.

    So, perserverence does pay off sometimes. You don't have to get angry, just firm.
    Hugs,
    Tigger
  11. blondie45

    blondie45 New Member

    Yes and I have always used that tactic with paying my bills also. Once Best Buy tried to charge me a late charge because they received the payment like 1 or 2 days late. I said if you don't take that late charge off I will NEVER buy from your store again. Most of the time the person you are talking to cannot help you in doing this. If this is the case, ask for the supervisor. They can and will take this off if you always pay your bill on time otherwise. Also you have pull if you have been a customer for awhile also. I cannot predict what the mailman goes through to get it there so if it is 1 to 2 days late and I mailed it in plenty of time I call and keep going until I get it taken off!
  12. tngirl

    tngirl New Member

    They can tell you if in fact you need a referrel. Insurance companies really make people jump through hoops sometimes.

    I would advise getting the name of the person you speak with at the insurance company and the time you called.

    If so I would keep calling the primary physician's office to get them to fax the referrel.
  13. Empower

    Empower New Member

    I am so SICK of the way that we are treated in Doctor's offices and stores, etc.

    By "we" I just mean the paying public in general

    By no means take their nonsense. Just keep pushing until you get the results you want!
  14. Tigger57

    Tigger57 New Member

    Some doctor's offices have their own policy that has nothing to do with the insurance company requiring a referral. This is pretty common with a "specialist".

    Just the same, they should have told you before this.

    Tigger