Why do they make getting a flu shot so difficult
Not really looking for advice as it is solved, not in the way it should be or hoped for, but just seeing if anyone else has encountered the same.
It’s easier to get flu shots processed correctly through our primary doctor. But you have to make an appointment, and they have a small window of when you can make that appointment and they fill up fast, if I’m lucky I can get in in October but most of the time they can’t get you in until December, which is pointless in my opinion.
Anyway, I go into my insurance portal to look for another in-network way to get flu shots right away. I see that my plan is partnered with some CVS minute clinics and they have a list of those in the area. I choose one closest to us and make appointments, all in and out in a few minutes for the whole family.
A month later, we get a bill for all shots, $50 each, that the claim was denied for being out of network. So I call insurance who reiterates that it has to be a partnered CVS minute clinic. I say, yes I went to this one, they read it back to me and then read the exact provider on the claim. Then silence. The person cannot give me an explanation as to why the claim was denied out of network when the insurance says the exact provider is in-network. 🤦🏼♀️
They just tell me where the reimbursement form is and that I have to pay the bill, then they will reimburse me. I did eventually get reimbursed.
Why, WHY does this happen?! They make things so difficult. I followed all of their protocols to verify where I went was in network, had the rep verify too, but couldn’t tell me why they still denied it.
