RE: No transplant coverage

[Guest guest]

They seem to change this routinely though

so always good to double check.

They also seem to change non renal

pediatric case facility restrictions.

At times peds could be anywhere, then

could have eval at non Mayo facility, but had to transplant at Mayo, then all

srvcs required to be at Mayo.

We have had kidneys in past that were told

they had to go to Mayo to be listed, but could get eval anywhere.

Sher Stirling-Burgin, BS, RN-BC, CCM

Transplant Financial Coordinator

Liver/ Intestine/Multivisceral Programs

Clarian Transplant

550 N. University Blvd., Rm 4601

Indpls., IN 46202-5202

Desk

FAX

sstirlingburgin@...

" Helping People Embrace New

Life. "

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH Trnsplnt

Sent: Tuesday, March 18, 2008 6:56

PM

To: TxFinancialCoordinators

Subject: RE:

No transplant coverage

Good news - kidney transplants are exempt

from the Mayo rule.

on

Financial

Counselor

Legacy

Transplant Services

1040 NW 22nd Ave Ste 480

Portland OR

97210

toll free

fax

lmorrisolhs (DOT) org

" I

love deadlines. I like the whooshing sound they make as they fly

by. "

Re:

No transplant coverage

This is

great timing...do you have a contact person for the Walmart Blue Cross

transplant benefit and authorization area? A new evaluation referral just

happened to come across my desk today and I have not yet been able to get to a

live human being. Copy of the card says BXBS of Illinois handles the Walmart

group. Thanks!

Marcia J. Fisher

Sr. Transplant Financial Coordinator

Michigan

Transplant Center

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>>> " Kreci, " <patricia.krecileememorial (DOT) org>

3/18/2008 2:52 PM >>>

Good afternoon all, I think we may have had this question before but

here goes: I have a patient with Walmart Blue Cross benefits as

primary; Medicare secondary. He's in the first year with no transplant

benefits. Will Medicare cover with a denial ? I'm not real sure on

this one, has anyone ever transplanted anyone in this first year of

coverage ?

Thanks as always for any info :-)

Kreci

Transplant Financial Coordinator

Southwest

Fla Regional Medical

Center

2727 Winkler Ave

Ft Myers, FL 33901

fax

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