RE: Coordination of Benefits

[Guest guest]

Assuming wife’s insurance is primary

and pt’s Medicare is secondary now, it will continue to be secondary

through the 30-month ESRD period.

Fred L. Forsthoffer, MBA

Financial Analyst

Banner Good Samaritan Transplant Services

,

, F-

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Drayton, Pamela

Sent: Thursday, January 17, 2008

9:32 AM

To:

TxFinancialCoordinators

Subject:

Coordination of Benefits

Importance: High

I have

patient who is 67 years old who previously had a kidney txp 7/2/81.

Pt had and lost Medicare in 1984 (3 years post txp). Pt became eligible

for Medicare 8/1/05 when he reached the aged of 65. He is also covered

through his wife who has BCBS through a large group with more than 20

employees. Wife is still currently working. Pts kidney

is failing though he is not back on dialysis yet and currently being worked up

for another potential transplant. Which plan is primary – Medicare

of BCBS?

Pamela N.

Drayton

Data/Financial

Coordinator-Renal Txp Dept F-4

Newark Beth

Israel Medical Center

Newark, NJ

07112

phone

fax

Pdraytonsbhcs

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