Thursday, November 13, 2008

Cheating the System?!


I get this call from a pharmacy today saying that a lady came to pick up some prescriptions. She was claiming them through workman's comp for an accident that happened at our facility 3 years ago and they just wanted to make sure it was still credible. He had called our workman's comp people and they had no record of it. He thought maybe we used someone else back then, but we've always used State Insurance Fund. So I look in the system and the lady worked here in 2005 for 2 weeks. Since she's an old employee I had to go look for her file upstairs. When I find it there's no paperwork filled out that the accident went to workman's comp, but there was a paper filled out by a doctor for the same accident this guy was referring too. On it it stated that she got soap in the eye and that the diagnosis was chemical conjunctivitis. How long would you have to get prescriptions for, for getting soap in your eye?!?! 3 years? So when I informed the guy of what happened I asked what the prescriptions were for. He looks it up and finds out that the prescriptions were for a muscle relaxer and arthritis!! Seriously!!! Yeah I would say that was bogus and she was completely trying to cheat the system. Good thing there's people like that guy to review those kinda claims!

No comments: