A place for me to work stuff out and to post things that interest me.








Most of us can, if we choose,
make this world either a palace or a prison.
~Lord Avebury


I choose a palace.
~TKF




Do not let your fire go out,
spark by irreplaceable spark,
in the hopeless swamps of the approximate,
the not-quite, the not-yet, the not-at-all.
Do not let the hero in your soul perish,
in lonely frustration for the life you deserved,
but have never been able to reach.
Check your road and the nature of your battle.
The world you desired can be won.
It exists, it is real, it is possible, it is yours.
~Ayn Rand




The democratic society's mythology of equality with its attendant erasure of difference is an impossibility in an actual, lived sense. Therefore, according to this view, this imaginary erasure cannot achieve an actual democracy, because a sense of community can only come with the recognition of difference.
~Slavoj Zizek, as paraphrased by Catherine M. Soussloff









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A brand new link! Check it out! deviantART

I thought the place was very cool. Oh, and all you Alias fans, you can find a very nice wallpaper there-- or rather, here--and a gorgeous Evanescence one, too!

Watcher's Diary

Slayage; The Online International Journal of Buffy Studies

Convert just about anything Comes in really handy when you want to convert fahrenheit to celcius and vice versa!

Links to 100s of free calculators online Everything from your due date to how much a house payment would be to a regular calculator

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Things My Girlfriend & I Have Argued About (Trust me--you'll be laughing outloud!)









 

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I'm 30-something and have 3 kids: Allen (18); Nikki (17); and Daniel (14)

t_k_f@hotmail.com

I live in Lexington, Kentucky

I'm owned by a cat, Moiya, who has me very well-trained.

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Beyond the Invisible
                   

The tale of the world is like a tree.
...
Sturdily rooted in the past, the tale's branches spread out through the days that come. The many stories that make up its substance unfold from bud to leaf to dry memory and back again, event connecting event like the threadwork of a spider's web, so that each creature of the world plays its part, understanding only aspects of the overall narrative, and perceiving, each with its particular talents, only glimpses of the Great Mystery that underlies it all.
~Charles de Lint, Moonheart

 
Monday, February 06, 2006

Oy, my brain hurts!



Today was one of those days where you wonder if they passed around an Idiot Box and everyone took a piece.

In order to understand what I'm talking about, you have to have some idea of what I do at work. Say you have insurance with Blue Cross/Blue Shield and you're from any state other than Florida. You go to Florida for some reason--because of business or a vacation or you have a winter home there--and while you're there, you need to go to the hospital or go to the doctor. Blue Cross/Blue Shield of Florida would then be your "host" insurance plan. In order for your provider to get paid, BCBSoFL coordinates with BCBS in your home state (your "home" plan). My job (and the other people I work with) is to be the middle-man for that coordination. We read emails from the home plan and respond to them--either by sending a letter to the provider to let them know what's going on or by asking the home plan further questions so that the claim gets paid (or not). Normally, it's a pretty easy job once you get the mechanics of it down, but it's engaging enough that the day goes by pretty quickly.

Today, though....my god!, it was ...hell...I don't even know the word to describe today. I had two emails that swore the claim was a duplicate. To itself! Yep, they gave the claim number that the claim I was working on was a duplicate to and it was the exact same number! I had one claim where they processed and paid it in March. Then we (the host plan) submitted new pricing on the procedures and asked them to void the previous claim and send a new resolution--to which they replied that the member's effective date was after the date of service--even though they'd already processed and paid it once! And when questioned how that was possible, they just repeated that the plan wasn't effective until 4 days after the date of service. I had one where someone at the host plan actually in Florida got into a pissing contest with someone at the home plan--and that person responded by saying they were refusing to process the claim through us, even though they have to.

IDIOTS!

My brain hurts....

11:59 PM
Comments:
Dude, are you alive out there? I've been checking your blog nearly every day and I know there are occasional gaps, but this is an awfully big one...
 
Oi! Where are yooooooou?
 
Tiiiina :( Come back!

~Butterfly
 
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