ENT Appointment

Liv had an ENT appointment yesterday.  It was just a 6 month check up.  She had a lot of wax in her ears so he had to get it out to look at her tube.  She went into the silent scream.  I didn't really think that what he did was any big deal but this morning she woke up with blood in her ear.  It's a little scary seeing that.  Well it definitely explains the crying.  We don't have to go back for another 6 months.  I've been doing specialist appointments with Liv since she was 6 months old.  I know how all of this works with referrals and whatnot.  The secretary was telling me that I would need one for the next appointment.  I should have just said ok and walked away but I didn't.  I told her that since she has Personal Choice, she doesn't need a referral.  The secretary was saying that since she has Keystone Mercy as an insurance as well, she needs a referral and that she is not going to be held responsible if she can't be seen.  Ok lady, who was going to hold you responsible anyways?  I understand that she works with lots of people that are difficult because it's the public in Philadelphia, but I think I have an idea since I've been doing it for over 2 years.  I don't understand why people feel the need to argue.  After she said that I of course just dropped and didn't say anything else, even though she was mumbling things like she was irritated with me that I wouldn't listen.  Oh well.