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Hello-

I have 2 questions:

The first is how do centers handle this situation:

Living kidney donor/ recipient

Recipients' insurance states " must bill donors insurance first for payment

or denial " and will not pay the donor charges

Do you call the donors insurance for a denial?

Do you ask that they fax you/mail you a denial?

Do you tell the recipients insurance that according to Medicare, donors

policy should be treated as if they have Part B?

How do you get these types of claims processed?

What about altruistic billing? How do you handle that?

The second part of my question is in regards to indigent recipients.

How is it handled when patient have a large out of pocket expense?

If the patient states that they are able to afford these costs, do you

assume that they are being truthful?

What if their insurance states 50% 75% coverage and patient states no

problem? Do you take their word?

What if the rx coverage has a $3,000 calendar year limit and pt states no

problem?

Thanks

Donovan

Transplant Financial Coordinator

SUNY Upstate Medical University

750 East Street

Syracuse, New York 13210

Phone: 315 464-6290

Fax: 315 464-6288

Donovanl@...

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