I recently had some dental issues which required some prescriptions for pain meds. I recently found out that my insurance company sends quarterly reports of Prescriptions issued to all providers who prescribed the meds. They indicated to me that they like to do this to keep the practitioners on the same page and it was for patient safety. Anyone else have a problem with this? The reports are so vague they don't explain to the prescribers the reasons for the prescriptions. Therefore it just makes you look like a doctor shopper and then you lose all your providers when they get the reports.
For example, if you are going to a pain clinic, they are not going to prescribe medication for oral surgeries or other surgeries for that matter. My dentist recently refused to ever prescribe me a pain med because she got this report that showed I get pain meds from a pain clinic. As I said, the report is vague and doesn't explain the whole picture. All these reports do is arouse suspicion and make your providers not trust you.
Has anyone else had this problem? I think the insurance company needs to revamp these reports so that the providers can see what EXACTLY is going on. Even if you visit an urgent care just once, they will recieve a report of all the prescriptions you have recieved in the past 3 months. Then they make notes in their computer disallowing you to recieve any prescriptions for pain meds or other controlled substances. The pain clinic is not going to help you when you go to an ER after an accident. The pain clinic even told me (because I am under contract) that you can recieve RX's for pain meds outside our clinic for Surgeries, Dental problems, or colds that can be managed by your primary care. The pain clinic really doesn't care but all your outside providers get these unclear reports and then kick you to the curb. All the reports show is what was prescribed, the quantity, the pharmacy it was filled at and the doctor who prescribed it. I really don't think it is fair for insurance companies to do this without being more clear. It almost makes patients want to fill their prescriptions without insurance.
Please let me know if this makes sense to anyone or if you have had a similar experience.View Thread
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