Nothing I love more than my morning cup of coffee to go alongside my daily peer-to-peers before clinic is even open yet. Extra exciting when the “peer” opens the conversation with “I am a RETIRED PSYCH (or other unrelated field) DOC with BCBS calling to discuss why your (insert GASTROENTEROLOGY specific procedure/testing/medication) was denied.” 

And then they literally ask me questions that they could have answered themselves by reading the notes I provided them 2 months ago, and again with the letter of medical necessity I wrote them, and again with the appeal I had to do. It takes me 8 weeks of work for what could have been squashed day one if the system were not broken. 

It’s coming to a point where the easier thing to do is basically nothing for the patient, and we wonder why the ER is packed. People see 16 specialists, people seek second, third or fourth opinions, further delaying care. I hate this.