The woman on the line told me it was fine. Twice. The first time when I explained the packet needed to come back because the signature landed in the wrong box — a box nobody had told her client to skip. The second time when I said the backlog meant another two weeks before anyone could even look at the resubmission. Both times, the same bright, fast of course, I completely understand, thank you so much for explaining that — pitched a half-step too high, no pause before it arrived. The fawn response, if you know how to listen for it. I don’t sit across from clients anymore. I work the phones now, authorized representatives only — discharge planners, facility business office staff, the people hospitals and nursing homes designate to deal with Medicaid eligibility so the person in the bed doesn’t have to. But I still know that voice when I hear it. It isn’t agreement. It’s someone doing math in real time: is it safer to push back here, or to be easy.
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