Tuesday, October 15, 2013

This Blog Is Long

In a previous post, I related my Tricare frustrations to you. Since then, I've been taking my girls to that clinic I described, with three practicing pediatricians that accept Tricare. Unsurprisingly, though, I'm increasingly dissatisfied with them.

This blog is long.

My first experience with them was great. I took one of my six-year-olds in and, after a talk with a pediatrician, got a referral to a specialist, which was exactly what I knew she needed. There was no long wait to get an appointment or to be seen, and the doctor asked relevant questions without making me feel like and idiot. She believed me, understood my concerns, and passed me on to someone better qualified to help me.

However, my next dealing with them, involved having the girls' medical records forwarded from Hawaii. It was an inexplicable nightmare.

Time zones are vastly different and the clinic in Hawaii is on a military base. It is operated by and serves exclusively military personnel and their families. Aside from those inherent obstacles, the clinic here in Colorado made a huge mess of things.

I filled out the authorizations for transfer of records at the Colorado clinic and had them faxed to Hawaii. For the next two months, I was pulling my hair out.

I had to fax the authorization twice. I don't know what happened to the first set, but Hawaii informed me that I needed to send a new set.

The first person I talked to at the Hawaii location said it would take a week or more for the authorization to be processed and the records to be returned. Two weeks later, nothing had happened, so I called them back. This time, I spoke to a different person who said that first guy had no idea what he was talking about, "it takes less than a day." So I faxed the second authorization to this new person.

For a while, it went like this:
  1. Call Hawaii and ask them to fax the records.
  2. Wait
  3. Get a call back from Hawaii informing me that the fax went through and a confirmation was received.
  4. Wait
  5. Call Colorado and find out they never got the records and don't know why.
  6. Repeat
Eventually, after double and triple checking for correct phone numbers, Hawaii decided to just FedEx the hard copies because no one could figure out what the problem was. But once Colorado received the package, they still couldn't do anything with it because two of my girls were still not in their system. All three had primary care physicians at this clinic, but only one of them had been seen at this point, so the other two were never added to their files.

I lost my temper. I think that's why they finally added my other two daughters, despite them not having had appointments yet. I just needed printed copies of their immunization records to submit to the district for homeschool purposes. How difficult can that be?

Additionally, when I called the Colorado clinic, I couldn't speak to the receptionist at the location the girls go to, I could only call a general number and select options from a menu, ending up talking to the chain's records department. For some reason, almost every time I called I wound up talking to a specific woman I could hardly understand. To make matters worse, she could hardly understand me. Instead of listening carefully, she interrupted me when I was trying to spell my kids' names for her. Of course, she misspelled them, and couldn't find them in the system even after they had been added.

When they did finally get all of that worked out and printed the immunization sheets for me, they informed me that the girls were all behind on their shots. I knew this. I made an appointment to get them caught up.

I thought we were done with the paperwork fumbling.

After the appointment, they gave me printed immunization charts for M and S which they had updated with pen. That's fine for my use, but I needed one for each of the three girls, and something more official for sending to the district. I called Friday to make the request. They said the charts would be available Monday and I'd receive a call when they were ready.

Monday, I received the call but missed it. The woman left a message that said, "I was just calling to let you know that the shot records you requested for your girls are ready for pick up here at the (location) office. If you have any questions please give us a call. It'll be ready for you at the front desk." So I had Papa drop by on his way home from work.

They told him they didn't have anything to give him and that the call was probably to inform us that they had received the girls' records from Hawaii, which, by my recollection, happened over a month ago. Besides, the woman said the records I requested were, "ready for pick up... at the front desk."

When Papa got home, I raged for a few minutes in my bathroom to avoid ruining my now four-year-old's birthday. Then, I called them back at exactly 5:00. Unfortunately, that's exactly when they closed. I was sent to an answering service that only takes messages about sick kids. I vented at that poor gentleman and then apologized because, "I know it's not your fault. You had nothing to do with it. I'm just very upset because I keep dealing with one problem after another from these people." He said he understood but, unfortunately, the only thing I could do was call back during business hours.

I didn't have to. They called me at 8:58 the next day and left another message: "This is Advanced Pediatrics calling to let you know that (C), (S), and (M)'s shot records are ready for pick up here at the (location) office."

Papa is headed there after work again today. I want to smack someone.




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