RE: RE: Medicare A&B primary / CIGNA PPO retirement plan secondary

[Guest guest]

They will not open a case when Medicare is

secondary.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl

Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

Page:

FAX:

Q Please consider the environment before printing this email

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra M. Simano

Sent: Friday, February 03, 2012

10:29 AM

To:

txfinancialcoordinators

Subject:

RE: Medicare A & B primary / CIGNA PPO retirement plan secondary

Hi Daryl,

If they don’t follow the case, then they should for the TX

as the secondary the same that they would any other service.

Deidra

Deidra M. Simano

Transplant Operations Analyst

Department of Transplant Surgery

Dartmouth-Hitchcock Lebanon

Phone: (603) 653.3689 / Fax: (603) 676.4287

Transplant Secretary (603) 653.3931

Dartmouth-Hitchcock.org

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012

10:26 AM

To: TxFinancialCoordinators

Subject:

Medicare A & B primary / CIGNA PPO retirement plan secondary

As I cannot get an

answer from CIGNA turning to my fellow TFCs – we have a gentleman who has

Medicare A & B and CIGNA PPO plan secondary (from his retirement package).

We are not a CIGNA LifeSource center – will CIGNA pay as secondary?

Thanks everyone!

Daryl

Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms.

Daryl Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department

of Transplantation

Lahey

Clinic, 41 Mall Road,

Burlington MA

01805

Ph:

Page:

FAX:

Q Please consider the

environment before printing this email

See our

web page at http://www.lahey.org for a full directory of Lahey sites, staff,

services and career opportunities.

THIS

MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY

CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE

UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this

message for any purpose is strictly prohibited. If you have received this

communication in error, please delete the message and notify the sender so that

we may correct our records.

IMPORTANT NOTICE REGARDING THIS

ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and

may contain information that is privileged, confidential, and protected from

disclosure under applicable law. If you are not the intended recipient, your

use of this message for any purpose is strictly prohibited. If you have

received this communication in error, please delete the message and notify the

sender so that we may correct our records.

[Guest guest]

I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended period of hospital stay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 11:21 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary They will not open a case when Medicare is secondary. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra M. SimanoSent: Friday, February 03, 2012 10:29 AMTo: txfinancialcoordinators Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Hi Daryl, If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service. Deidra Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:26 AMTo: TxFinancialCoordinators Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirement package). We are not a CIGNA LifeSource center – will CIGNA pay as secondary? Thanks everyone! Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

[Guest guest]

If Medicare is primary, Lifesource is not involved so you shouldn't have any issues. Debbie Mast Database Administrator/Financial ManagerSolid Organ Transplants/VAD program I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended period of hospital stay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 11:21 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary They will not open a case when Medicare is secondary. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra M. SimanoSent: Friday, February 03, 2012 10:29 AMTo: txfinancialcoordinators Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Hi Daryl, If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service. Deidra Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org <image001.gif> From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:26 AMTo: TxFinancialCoordinators Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirement package). We are not a CIGNA LifeSource center – will CIGNA pay as secondary? Thanks everyone! Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

[Guest guest]

I have reached out to our hospital LifeSource

contact and she will run this patient insurance specifics by a supervisor in

transplant case management. Hopefully that will help reach resolution. I have

been told in the past that since Medicare is primary and LifeSource not involved

and our hospital is contracted with CIGNA for medical care then we should be

okay.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl

Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

Page:

FAX:

Q Please consider the environment before printing this email

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, Deborah

Sent: Friday, February 03, 2012

11:37 AM

To: TxFinancialCoordinators

Subject: Re:

RE: Medicare A & B primary / CIGNA PPO retirement

plan secondary

If Medicare is primary, Lifesource is not involved so you shouldn't

have any issues.

Debbie Mast

Database

Administrator/Financial Manager

Solid Organ

Transplants/VAD program

On Feb 3, 2012, at 8:28 AM, " Farid, Fahmy "

wrote:

I also suggest to keep track of MCR remaining inpt days . Not so

much a pb with K/P/L but for other organs necessitating extended period of

hospital stay.

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012

11:21 AM

To: TxFinancialCoordinators

Subject: RE:

RE: Medicare A & B primary / CIGNA PPO retirement

plan secondary

They will not open a case when Medicare is secondary.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl Battin, MSW/LICSW

Financial Coordinator/Social Worker

Department of Transplantation

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

Page:

FAX:

Q Please consider the

environment before printing this email

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Deidra M. Simano

Sent: Friday, February 03, 2012

10:29 AM

To: txfinancialcoordinators

Subject:

RE: Medicare A & B primary / CIGNA PPO retirement plan secondary

Hi Daryl,

If they don’t follow the case, then they should for the TX as

the secondary the same that they would any other service.

Deidra

Deidra M. Simano

Transplant Operations Analyst

Department of Transplant Surgery

Dartmouth-Hitchcock Lebanon

Phone: (603) 653.3689 / Fax: (603) 676.4287

Transplant Secretary (603) 653.3931

Dartmouth-Hitchcock.org

<image001.gif>

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012

10:26 AM

To: TxFinancialCoordinators

Subject:

Medicare A & B primary / CIGNA PPO retirement plan secondary

As I cannot get an

answer from CIGNA turning to my fellow TFCs – we have a gentleman who has

Medicare A & B and CIGNA PPO plan secondary (from his retirement package).

We are not a CIGNA LifeSource center – will CIGNA pay as secondary?

Thanks everyone!

Daryl

Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms.

Daryl Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department

of Transplantation

Lahey

Clinic, 41 Mall Road,

Burlington MA

01805

Ph:

Page:

FAX:

Q Please consider the

environment before printing this email

See our

web page at http://www.lahey.org for a full

directory of Lahey sites, staff, services and career opportunities.

THIS

MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY

CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE

UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this

message for any purpose is strictly prohibited. If you have received this

communication in error, please delete the message and notify the sender so that

we may correct our records.

IMPORTANT

NOTICE REGARDING THIS ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and

may contain information that is privileged, confidential, and protected from

disclosure under applicable law. If you are not the intended recipient, your

use of this message for any purpose is strictly prohibited. If you have

received this communication in error, please delete the message and notify the

sender so that we may correct our records.

CONFIDENTIAL: The information contained in this

communication, including its attachments may contain confidential information

and is intended only for the individual (s) or entity (ies) to whom it is

addressed . The information contained in this communication may also be

protected by legal privilege , federal law or other applicable law. If you are

not the intended recipient of this communication , you are hereby notified that

any distribution, dissemination or duplication of this communication is

strictly prohibited. If you have received this communication in error please

immediately delete and destroy all copies of this message and please

immediately notify us of the error by separate communication . Thank you.

[Guest guest]

Jumping in late here. CIGNA put it out about a year ago (or more? I lose track!) that when Medicare is primary, Lifesource participation is not required. Secondary claims should go directly to CIGNA. If I can find the reference, I’ll post it. on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 8:44 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary I have reached out to our hospital LifeSource contact and she will run this patient insurance specifics by a supervisor in transplant case management. Hopefully that will help reach resolution. I have been told in the past that since Medicare is primary and LifeSource not involved and our hospital is contracted with CIGNA for medical care then we should be okay. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, DeborahSent: Friday, February 03, 2012 11:37 AMTo: TxFinancialCoordinators Subject: Re: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary If Medicare is primary, Lifesource is not involved so you shouldn't have any issues. Debbie Mast Database Administrator/Financial ManagerSolid Organ Transplants/VAD program I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended period of hospital stay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 11:21 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary They will not open a case when Medicare is secondary. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra M. SimanoSent: Friday, February 03, 2012 10:29 AMTo: txfinancialcoordinators Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Hi Daryl, If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service. Deidra Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org <image001.gif> From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:26 AMTo: TxFinancialCoordinators Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirement package). We are not a CIGNA LifeSource center – will CIGNA pay as secondary? Thanks everyone! Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

[Guest guest]

You are correct, . We are not a Lifesource center, but transplant a lot of patients with CIGNA with no problem. No case management at all when Medicare is prime which is wonderful. No LOA is needed.Ruth Ruth Wilhelm Financial Coordinator/Business Manager The Virginia Transplant Center Henrico Doctors' Hospital Henrico, VA phone fax Ruth.Wilhelm@... Treasurer, Transplant Financial Coordinators Association From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Friday, February 03, 2012 12:29 PMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Jumping in late here. CIGNA put it out about a year ago (or more? I lose track!) that when Medicare is primary, Lifesource participation is not required. Secondary claims should go directly to CIGNA. If I can find the reference, I’ll post it. on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 8:44 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary I have reached out to our hospital LifeSource contact and she will run this patient insurance specifics by a supervisor in transplant case management. Hopefully that will help reach resolution. I have been told in the past that since Medicare is primary and LifeSource not involved and our hospital is contracted with CIGNA for medical care then we should be okay. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, DeborahSent: Friday, February 03, 2012 11:37 AMTo: TxFinancialCoordinators Subject: Re: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary If Medicare is primary, Lifesource is not involved so you shouldn't have any issues. Debbie Mast Database Administrator/Financial ManagerSolid Organ Transplants/VAD program I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended period of hospital stay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 11:21 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary They will not open a case when Medicare is secondary. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra M. SimanoSent: Friday, February 03, 2012 10:29 AMTo: txfinancialcoordinators Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Hi Daryl, If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service. Deidra Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org <image001.gif> From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:26 AMTo: TxFinancialCoordinators Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirement package). We are not a CIGNA LifeSource center – will CIGNA pay as secondary? Thanks everyone! Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

[Guest guest]

Thanks for confirming Ruth! I can’t find the email, vague recollection it was passed on to the group by Bessie Plummer? From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Ruth.Wilhelm@...Sent: Friday, February 03, 2012 9:32 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary You are correct, . We are not a Lifesource center, but transplant a lot of patients with CIGNA with no problem. No case management at all when Medicare is prime which is wonderful. No LOA is needed.Ruth Ruth Wilhelm Financial Coordinator/Business Manager The Virginia Transplant Center Henrico Doctors' Hospital Henrico, VA phone fax Ruth.Wilhelm@... Treasurer, Transplant Financial Coordinators Association From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of on, :LPH TrnsplntSent: Friday, February 03, 2012 12:29 PMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Jumping in late here. CIGNA put it out about a year ago (or more? I lose track!) that when Medicare is primary, Lifesource participation is not required. Secondary claims should go directly to CIGNA. If I can find the reference, I’ll post it. on Transplant Financial Coordinator Legacy Good Samaritan Hospital Legacy Transplant Services 1040 NW 22nd Ave Ste 480 Portland OR 97210 direct main office toll-free fax lmorriso@... From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 8:44 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary I have reached out to our hospital LifeSource contact and she will run this patient insurance specifics by a supervisor in transplant case management. Hopefully that will help reach resolution. I have been told in the past that since Medicare is primary and LifeSource not involved and our hospital is contracted with CIGNA for medical care then we should be okay. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Mast, DeborahSent: Friday, February 03, 2012 11:37 AMTo: TxFinancialCoordinators Subject: Re: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary If Medicare is primary, Lifesource is not involved so you shouldn't have any issues. Debbie Mast Database Administrator/Financial ManagerSolid Organ Transplants/VAD program I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended period of hospital stay. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 11:21 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary They will not open a case when Medicare is secondary. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Deidra M. SimanoSent: Friday, February 03, 2012 10:29 AMTo: txfinancialcoordinators Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Hi Daryl, If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service. Deidra Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org <image001.gif> From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:26 AMTo: TxFinancialCoordinators Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirement package). We are not a CIGNA LifeSource center – will CIGNA pay as secondary? Thanks everyone! Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environment before printing this email See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you.

[Guest guest]

Hi Daryl,

We are not a Cigna Life Source Center either and Cigna has allowed

patients to proceed with our program when they are the secondary payer. I

currently have two patient’s being evaluated that have Medicare primary

and Cigna secondary.

Amy J. Murray

Transplant Financial Coordinator

Via Christi Hospital

Transplant Institute

929 N. St. Francis, Suite M157

Wichita, KS 67214

PH:

FX:

Amy.Murray@...

_________________________________________________________________________________________________________________________

“NOTICE – This e-mail message may contain

privileged, confidential, or sensitive information intended only for the use of

the intended recipient. If you are not the intended recipient of this e-mail,

you are hereby notified that any use, dissemination, distribution or

reproduction of this e-mail is prohibited. If you have received this

e-mail in error, please notify Via Christi Health immediately, and delete this

e-mail and all attachments from your computer system. Any views expressed

in this e-mail are those of the individual sender and may not necessarily

reflect the views of Via Christi Health”.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Battin,

Daryl J.

Sent: Friday, February 03, 2012 10:21 AM

To: TxFinancialCoordinators

Subject: RE: RE: Medicare A & B primary /

CIGNA PPO retirement plan secondary

They will

not open a case when Medicare is secondary.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl

Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41

Mall Road, Burlington MA 01805

Ph:

Page:

FAX:

Q Please

consider the environment before printing this email

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Deidra M.

Simano

Sent: Friday, February 03, 2012 10:29 AM

To: txfinancialcoordinators

Subject: RE: Medicare A & B primary / CIGNA

PPO retirement plan secondary

Hi Daryl,

If they don’t follow the case,

then they should for the TX as the secondary the same that they would any other

service.

Deidra

Deidra M. Simano

Transplant Operations Analyst

Department of Transplant Surgery

Dartmouth-Hitchcock Lebanon

Phone: (603) 653.3689 / Fax: (603)

676.4287

Transplant Secretary (603) 653.3931

Dartmouth-Hitchcock.org

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ] On Behalf Of Battin,

Daryl J.

Sent: Friday, February 03, 2012 10:26 AM

To: TxFinancialCoordinators

Subject: Medicare A & B primary / CIGNA PPO

retirement plan secondary

As I cannot get an answer from CIGNA turning to my

fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO

plan secondary (from his retirement package). We are not a CIGNA

LifeSource center – will CIGNA pay as secondary?

Thanks everyone!

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41 Mall Road,

Burlington MA 01805

Ph:

Page:

FAX:

Q Please

consider the environment before printing this email

See our web page at http://www.lahey.org for a full directory of Lahey

sites, staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED.

IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM

DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your

use of this message for any purpose is strictly prohibited. If you have

received this communication in error, please delete the message and notify the

sender so that we may correct our records.

IMPORTANT

NOTICE REGARDING THIS ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and

may contain information that is privileged, confidential, and protected from

disclosure under applicable law. If you are not the intended recipient, your

use of this message for any purpose is strictly prohibited. If you have

received this communication in error, please delete the message and notify the

sender so that we may correct our records.

“NOTICE – This e-mail message may contain privileged, confidential, or sensitive information intended only for the use of the identified recipient. If you are not the intended recipient of this e-mail, you are hereby notified that any use, dissemination, distribution, or reproduction of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender immediately, and delete this e-mail and all attachments from your computer system. Any views or opinions expressed in this e-mail are those of the individual sender and do not necessarily reflect the views of the organization.”

[Guest guest]

I agree with all of you who have said no case management necessary when CIGNA is secondary. This has always been my experience, and I have many patients in

that situation.

Sara Danner

| Transplant Financial Coordinator | Memorial Medical Center | Springfield, IL

Phone: | Fax: | E-mail:

danner.sara@...

CHOOSE GREAT.

CHOOSE MEMORIAL.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012 10:44 AM

To: TxFinancialCoordinators

Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary

I have reached out to our hospital LifeSource contact and she will run this patient insurance specifics

by a supervisor in transplant case management. Hopefully that will help reach resolution. I have been told in the past that since Medicare is primary and LifeSource not involved and our hospital is contracted with CIGNA for medical care then we should be

okay.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl Battin, MSW/LICSW

Financial Coordinator/Social Worker

Department of Transplantation

Lahey Clinic, 41 Mall Road, Burlington MA 01805

Ph:

Page:

FAX:

Q Please consider the environment

before printing this email

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Mast, Deborah

Sent: Friday, February 03, 2012 11:37 AM

To: TxFinancialCoordinators

Subject: Re: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary

If Medicare is primary, Lifesource is not involved so you shouldn't have any issues.

Debbie Mast

Database Administrator/Financial Manager

Solid Organ Transplants/VAD program

I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended period

of hospital stay.

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012 11:21 AM

To: TxFinancialCoordinators

Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary

They will not open a case when Medicare is secondary.

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl Battin, MSW/LICSW

Financial Coordinator/Social Worker

Department of Transplantation

Lahey Clinic, 41 Mall Road, Burlington MA 01805

Ph:

Page:

FAX:

Q Please consider the environment

before printing this email

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Deidra M. Simano

Sent: Friday, February 03, 2012 10:29 AM

To: txfinancialcoordinators

Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary

Hi Daryl,

If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service.

Deidra

Deidra M. Simano

Transplant Operations Analyst

Department of Transplant Surgery

Dartmouth-Hitchcock Lebanon

Phone: (603) 653.3689 / Fax: (603) 676.4287

Transplant Secretary (603) 653.3931

Dartmouth-Hitchcock.org

<image001.gif>

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012 10:26 AM

To: TxFinancialCoordinators

Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary

As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirement

package). We are not a CIGNA LifeSource center – will CIGNA pay as secondary?

Thanks everyone!

Daryl Battin

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Ms. Daryl Battin, MSW/LICSW

Financial Coordinator/Social Worker

Department of Transplantation

Lahey Clinic, 41 Mall Road, Burlington MA 01805

Ph:

Page:

FAX:

Q Please consider the environment

before printing this email

See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities.

THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for any

purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:

This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message for

any purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.

CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies)

to whom it is addressed . The information contained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution,

dissemination or duplication of this communication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication

.. Thank you.

This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this message.

Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.

[Guest guest]

They do apply the OON benefit level- patient will have to meet the coinsurance and deductible and possible UCR - also check because some Cigna policies theyhave no out of network benefits and would not cover after Medicare Dana L. GesslerRevenue CycleTransplant Credit Analyst,Transplant Fiscal Credit Department2 Hot Metal St | Quantum One Bldg | W403 | Pittsburgh, PA 15203Phone 412. 258.1898 |Fax |Email gesslerdl@...Pager Long Range Short Range 11350 " Confidential UPMC Information. Any unauthorized or improper disclosure, copying, distribution, or use of the contents of this e-mail or attached documentsis prohibited. The information contained in this e-mail message is intended only for the personal and confidential use of the recipient(s) named above. If you have received this communication in error, please notify the sender immediately by e-mail and deletethe original message. " From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Danner, SaraSent: Friday, February 03, 2012 1:33 PMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary I agree with all of you who have said no case management necessary when CIGNA is secondary. This has always been my experience, andI have many patients in that situation. Sara Danner| Transplant Financial Coordinator | Memorial Medical Center | Springfield, ILPhone: | Fax: | E-mail:danner.sara@... CHOOSE GREAT. CHOOSE MEMORIAL. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:44 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary I have reached out to our hospital LifeSource contact and she will run this patient insurance specifics by a supervisor in transplant casemanagement. Hopefully that will help reach resolution. I have been told in the past that since Medicare is primary and LifeSource not involved and our hospital is contracted with CIGNA for medical care then we should be okay. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of TransplantationLahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environmentbefore printing this email From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Mast, DeborahSent: Friday, February 03, 2012 11:37 AMTo: TxFinancialCoordinators Subject: Re: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary If Medicare is primary, Lifesource is not involved so you shouldn't have any issues. Debbie Mast Database Administrator/Financial ManagerSolid Organ Transplants/VAD program I also suggest to keep track of MCR remaining inpt days . Not so much a pb with K/P/L but for other organs necessitating extended periodof hospital stay. From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 11:21 AMTo: TxFinancialCoordinators Subject: RE: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary They will not open a case when Medicare is secondary. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of TransplantationLahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environmentbefore printing this email From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Deidra M. SimanoSent: Friday, February 03, 2012 10:29 AMTo: txfinancialcoordinators Subject: RE: Medicare A & B primary / CIGNA PPO retirement plan secondary Hi Daryl, If they don’t follow the case, then they should for the TX as the secondary the same that they would any other service. Deidra Deidra M. SimanoTransplant Operations AnalystDepartment of Transplant SurgeryDartmouth-Hitchcock LebanonPhone: (603) 653.3689 / Fax: (603) 676.4287Transplant Secretary (603) 653.3931Dartmouth-Hitchcock.org <image001.gif> From:TxFinancialCoordinators [mailto:TxFinancialCoordinators ]On Behalf Of Battin, Daryl J.Sent: Friday, February 03, 2012 10:26 AMTo: TxFinancialCoordinators Subject: Medicare A & B primary / CIGNA PPO retirement plan secondary As I cannot get an answer from CIGNA turning to my fellow TFCs – we have a gentleman who has Medicare A & B and CIGNA PPO plan secondary (from his retirementpackage). We are not a CIGNA LifeSource center – will CIGNA pay as secondary? Thanks everyone! Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of TransplantationLahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: Q Please consider the environmentbefore printing this email See our web page at http://www.lahey.org for a full directory of Lahey sites, staff, services and career opportunities. THIS MESSAGE IS INTENDED FOR THE USE OF THE PERSON TO WHOM IT IS ADDRESSED. IT MAY CONTAIN INFORMATION THAT IS PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE UNDER APPLICABLE LAW. If you are not the intended recipient, your use of this message for anypurpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.IMPORTANT NOTICE REGARDING THIS ELECTRONIC MESSAGE:This message is intended for the use of the person to whom it is addressed and may contain information that is privileged, confidential, and protected from disclosure under applicable law. If you are not the intended recipient, your use of this message forany purpose is strictly prohibited. If you have received this communication in error, please delete the message and notify the sender so that we may correct our records.CONFIDENTIAL: The information contained in this communication, including its attachments may contain confidential information and is intended only for the individual (s) or entity (ies) to whom it is addressed . The informationcontained in this communication may also be protected by legal privilege , federal law or other applicable law. If you are not the intended recipient of this communication , you are hereby notified that any distribution, dissemination or duplication of thiscommunication is strictly prohibited. If you have received this communication in error please immediately delete and destroy all copies of this message and please immediately notify us of the error by separate communication . Thank you. This message (including any attachments) contains confidential information intended for a specific individual and purpose, and is protected by law. If you are notthe intended recipient, you should delete this message. Any disclosure, copying, or distribution of this message, or the taking of any action based on it, is strictly prohibited.