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Original Comment I use Express Scripts to process my secondary claims to TRICARE for my prescription drugs. I get my prescriptions at my local pharmacy and I pay the Co-pays (the amount my primary insurance does not cover. Then, I take the receipts and attach them to a completed claim form and mail it to Express Scripts for processing (it has the current contract with TRICARE). The issue is, that several times a year Express Scripts manages to lose one or more of the receipts attached to the claim forms or it will claim it never received the claim and I wind up having to resubmit all the receipts. It's obvious that the claims processing department needs some better supervision and/or training. One cannot speak with anyone in the claims processing department. All you can do is call the 1-877 number and speak to someone who is a Express Scripts representative but who can only speak to very basic issues and cannot help with claims issues. <br /> Two and a half weeks ago, I sent in a claim form with two prescription receipts. Saturday, I got the Explanation of Payment form w/check back for one prescription. I called and was told there was no record of the second prescription receipt which had a co-pay of $500. I resubmitted Saturday and today I get a letter from Express Scripts with a copy of both receipts (meaning it did receive them both) but trying to claim I need to send in an electronically generated receipt, which includes the fill completion of the attached partially filled prescription, as it is required for processing. It was a 90 day prescription fill for Restasis. It was not a partial fill but a complete fill. I called again. Oh, you need to go to your pharmacy and have it print another receipt and mail it in because they must not have gotten the receipt. I must be stupid, but I asked how is it that they did not get the receipt in question but was able to photo copy both original receipts and mail it back to me with the letter? Duhh. <br /> So, you are right, Express Scripts does have issues and there is no one in authority you can speak with to get issues Express Scripts caused, resolved. I guess I now need to write to TRICARE And complain and also write my Senator and see if a Congressional will get Express Scripts to fix some of its problems, along with all the ones you all who have posted, expressed.

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