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

[Guest guest]

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.

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[Guest guest]

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]

We get a single case rate for each patient since we are also not a Cigna LifeSource center. And, we have no trouble while doing this.

G. Yetter

Transplant Fincancial Coordinator

Pinnacle Health/burg Hospital

205 S Front St Brady 8

burg, Pa 17105

PHONE:

FAX

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/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.

[Guest guest]

We get a single case rate for each patient since we are also not a Cigna LifeSource center. And, we have no trouble while doing this.

G. Yetter

Transplant Fincancial Coordinator

Pinnacle Health/burg Hospital

205 S Front St Brady 8

burg, Pa 17105

PHONE:

FAX

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/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.

[Guest guest]

We always call and ask for single case agreement for those

situations.

Dorinda S. Frye, Auth Rep

Hema/Onc, Infusion, BMT

Akron Children's Hospital

One Perkins Square

Akron, OH 44308

office

fax

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.

************************************************************************************************************************************************************************

This electronic mail transmission, including any attached files, may contain confidential and/or privileged information for the sole use of the intended recipient(s). It is not intended for transmission to, or receipt by, any unauthorized parties. Any review, use, distribution, dissemination, downloading, copying or disclosure by others is strictly

prohibited. If you are not the intended recipient (or authorized to receive information for the intended recipient), you are hereby notified that you have received this transmission in error. If you have received this transmission in error, please delete it, as well as any copies, from your system without copying it, and notify the sender by reply e-mail.

[Guest guest]

We always call and ask for single case agreement for those

situations.

Dorinda S. Frye, Auth Rep

Hema/Onc, Infusion, BMT

Akron Children's Hospital

One Perkins Square

Akron, OH 44308

office

fax

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.

************************************************************************************************************************************************************************

This electronic mail transmission, including any attached files, may contain confidential and/or privileged information for the sole use of the intended recipient(s). It is not intended for transmission to, or receipt by, any unauthorized parties. Any review, use, distribution, dissemination, downloading, copying or disclosure by others is strictly

prohibited. If you are not the intended recipient (or authorized to receive information for the intended recipient), you are hereby notified that you have received this transmission in error. If you have received this transmission in error, please delete it, as well as any copies, from your system without copying it, and notify the sender by reply e-mail.

[Guest guest]

Daryl

I believe CIGNA will not do a single case

agreement if they are the secondary payor. If the CIGNA plan is a PPO plan, his

out of networks should pay as secondary. You will need to look at how much is

the out of network deductible and out of network out of pocket to determine

what is the patient’s financial liability and compare it to the in

network benefits. We should always do what is best for the patients.

For post transplant care, if your

physicians and your hospital are CIGNA contracted provider, they should cover

as secondary at in network level.

I think CIGNA case management does not

follow patients when CIGNA is the secondary payor.

..

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.

Sent: Friday, February 03, 2012

9:26 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.

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