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Coordination of benefits

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Hello All,

Two questions.

1. Patient has Aetna primary, Medicare secondary. Medicare was due to

become primary as of 10/07. Patient transplanted 3/07. Did Medicare

become primary 3/07 or 10/07? Patient is only eligible because of ESRD.

2. Same patient as above. Transplant failed 3/08. Do we go back to

start with the coordination of benefits or is Medicare still prime?

Patient was on dialysis prior to transplant and returned to dialysis

3/08.

Manley

Financial Coordinator

Hahnemann University Hospital

.Manley@...

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