Activating Medicare B (when took only A earlier)

[Guest guest]

I have a patient with active commercial insurance who took

only ESRD Medicare A (on dialysis) and now is trying to activate the B (had a

transplant today). Social Security told the patient that since he declined the

B when he took the A, they cannot activate the B without documentation that he

had a kidney transplant (today). They gave the patient a new 2728 to

complete. ESRD Network has told me I am not to complete a new 2728 but Social

Security is insisting they cannot activate the Medicare B without official

documentation on a 2728 of the transplant.

To settle this case and help this patient (who has huge coinsurance

for immunos), Social Security is faxing me his original dialysis 2728 to add

the transplant information and will accept that but I have never had to do that

before????

What has been your experience in similar scenarios?

Daryl Battin, LICSW

Financial Coordinator/Social Worker

Lahey Clinic Kidney Transplant

41

Mall Road, Burlington,

MA 01805

Ph: /FAX:

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