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I’m new here but I thought I’d share my story with you all. So I work for a well known health insurance company and from time to time I get some pretty nasty callers. But this one call yesterday was interesting to say the least. So they called in and was very upset about their dental visit claim being denied. They were yelling saying that we embarrassed her because when she went to the dentist office she was told we never paid them from her last visit. She was going on and on about how we are incompetent and made her look bad and how this is unprofessional and should’ve been taken care of. So I check the claim and see the denial reason and check her benefits and what do you know? She doesn’t have dental with us. So patiently I let her get all she needed off her chest and apologized for any inconvenience and inform her that she didn’t have dental coverage with us. So she said “Then who is my dental with?!” I’m like idk ma’am but that’s the reason the visit wasn’t covered. She then proceeds to berate and curse me out saying she pays us monthly and we should cover this visit and then demands to speak with a Sup. I was so confused lol
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