RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

[Guest guest]

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 2:22 PM

To: TxFinancialCoordinators

Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and

the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,

Sam

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart Medical Center

Kidney Transplant Program

105 W Eighth Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended

only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically

transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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]

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 2:22 PM

To: TxFinancialCoordinators

Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and

the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,

Sam

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart Medical Center

Kidney Transplant Program

105 W Eighth Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended

only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically

transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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 have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this.

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Friday, May 11, 2012 12:26 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 2:22 PMTo: TxFinancialCoordinators Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,Sam

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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.

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

[Guest guest]

They do have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this.

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Friday, May 11, 2012 12:26 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 2:22 PMTo: TxFinancialCoordinators Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,Sam

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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.

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

[Guest guest]

When Medicare is primary to a commercial insurance,

there very often is not a Medicare crossover process for the commercial insurance

(compared to Medicare supplemental plans) to pay the pharmacy for the 20%. So

the patient ends up paying the 20% and then working with the commercial insurance

to reimburse that 20%. They often have to wait until they get their Medicare

EOB stating what Medicare has paid before they can submit for reimbursement to

their commercial plan. This ends up being something we have to prepare

patients to have the funds to cover.

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:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 3:27 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail]

[Caution: Message contains Suspicious URL content]

Immuno's being covered

They do have Medicare

Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion

needs to cover as they will not. Then when you contact the prescription

benefits, they state they are to be billed primary or they will not pay and as

you all know, we cannot do this.

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart

Medical Center

Kidney Transplant Program

105 W Eighth

Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents

accompanying this electronic transmission may contain information that is

confidential and/or legally privileged. The information is intended only for

the use of the individual or entity named above. If you are not the intended

recipient, you are hereby notified that any disclosure, copying, distribution

or the taking of any action in reliance on or regarding the contents of this

electronically transmitted information is strictly prohibited. If you have

received this e-mail in error, please notify the sender and delete this message

immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, Sara

Sent: Friday, May 11, 2012 12:26

PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail]

[Caution: Message contains Suspicious URL content]

Immuno's being covered

Immunos shouldn’t be billed to prescription plan at

all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 2:22 PM

To: TxFinancialCoordinators

Subject: [Marketing Mail]

[Caution: Message contains Suspicious URL content]

Immuno's being covered

Hello,

Is anyone else experiences

problems with Blue Cross Blue Shield plans covering immunosuppressive

medications? The problem I seem to be having is when the BC BS plan is

secondary to Medicare and the prescription plan under Blue Cross Blue Shield

request to be billed primary. They are denying claims and leaving our patients

with huge bills. Any suggestions or comments???

Thanks,

Sam

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart

Medical Center

Kidney Transplant Program

105 W Eighth

Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents

accompanying this electronic transmission may contain information that is

confidential and/or legally privileged. The information is intended only for

the use of the individual or entity named above. If you are not the intended

recipient, you are hereby notified that any disclosure, copying, distribution

or the taking of any action in reliance on or regarding the contents of this

electronically transmitted information is strictly prohibited. If you have

received this e-mail in error, please notify the sender and delete this message

immediately.

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.

This message is intended for the sole use

of the addressee, and may contain information that is privileged, confidential

and exempt from disclosure under applicable law. If you are not the addressee

you are hereby notified that you may not use, copy, disclose, or distribute to

anyone the message or any information contained in the message. If you have

received this message in error, please immediately advise the sender by reply

email and delete this message.

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]

When Medicare is primary to a commercial insurance,

there very often is not a Medicare crossover process for the commercial insurance

(compared to Medicare supplemental plans) to pay the pharmacy for the 20%. So

the patient ends up paying the 20% and then working with the commercial insurance

to reimburse that 20%. They often have to wait until they get their Medicare

EOB stating what Medicare has paid before they can submit for reimbursement to

their commercial plan. This ends up being something we have to prepare

patients to have the funds to cover.

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:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 3:27 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail]

[Caution: Message contains Suspicious URL content]

Immuno's being covered

They do have Medicare

Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion

needs to cover as they will not. Then when you contact the prescription

benefits, they state they are to be billed primary or they will not pay and as

you all know, we cannot do this.

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart

Medical Center

Kidney Transplant Program

105 W Eighth

Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents

accompanying this electronic transmission may contain information that is

confidential and/or legally privileged. The information is intended only for

the use of the individual or entity named above. If you are not the intended

recipient, you are hereby notified that any disclosure, copying, distribution

or the taking of any action in reliance on or regarding the contents of this

electronically transmitted information is strictly prohibited. If you have

received this e-mail in error, please notify the sender and delete this message

immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, Sara

Sent: Friday, May 11, 2012 12:26

PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail]

[Caution: Message contains Suspicious URL content]

Immuno's being covered

Immunos shouldn’t be billed to prescription plan at

all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 2:22 PM

To: TxFinancialCoordinators

Subject: [Marketing Mail]

[Caution: Message contains Suspicious URL content]

Immuno's being covered

Hello,

Is anyone else experiences

problems with Blue Cross Blue Shield plans covering immunosuppressive

medications? The problem I seem to be having is when the BC BS plan is

secondary to Medicare and the prescription plan under Blue Cross Blue Shield

request to be billed primary. They are denying claims and leaving our patients

with huge bills. Any suggestions or comments???

Thanks,

Sam

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart

Medical Center

Kidney Transplant Program

105 W Eighth

Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents

accompanying this electronic transmission may contain information that is

confidential and/or legally privileged. The information is intended only for

the use of the individual or entity named above. If you are not the intended

recipient, you are hereby notified that any disclosure, copying, distribution

or the taking of any action in reliance on or regarding the contents of this

electronically transmitted information is strictly prohibited. If you have

received this e-mail in error, please notify the sender and delete this message

immediately.

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.

This message is intended for the sole use

of the addressee, and may contain information that is privileged, confidential

and exempt from disclosure under applicable law. If you are not the addressee

you are hereby notified that you may not use, copy, disclose, or distribute to

anyone the message or any information contained in the message. If you have

received this message in error, please immediately advise the sender by reply

email and delete this message.

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]

I will call the commercial plan and ask them if the patient pays the 20% , will they work with them to reimburse them back.

Thanks so much for all the answers

Sam

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, May 11, 2012 1:03 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

When Medicare is primary to a commercial insurance, there very often is not a Medicare crossover process for the commercial insurance (compared to Medicare supplemental plans) to pay the pharmacy for the 20%. So the patient ends up paying the 20% and then working with the commercial insurance to reimburse that 20%. They often have to wait until they get their Medicare EOB stating what Medicare has paid before they can submit for reimbursement to their commercial plan. This ends up being something we have to prepare patients to have the funds to cover.

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:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 3:27 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

They do have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this.

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Friday, May 11, 2012 12:26 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 2:22 PMTo: TxFinancialCoordinators Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,Sam

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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.

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

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 message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

[Guest guest]

I will call the commercial plan and ask them if the patient pays the 20% , will they work with them to reimburse them back.

Thanks so much for all the answers

Sam

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, May 11, 2012 1:03 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

When Medicare is primary to a commercial insurance, there very often is not a Medicare crossover process for the commercial insurance (compared to Medicare supplemental plans) to pay the pharmacy for the 20%. So the patient ends up paying the 20% and then working with the commercial insurance to reimburse that 20%. They often have to wait until they get their Medicare EOB stating what Medicare has paid before they can submit for reimbursement to their commercial plan. This ends up being something we have to prepare patients to have the funds to cover.

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:

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 3:27 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

They do have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this.

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Friday, May 11, 2012 12:26 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 2:22 PMTo: TxFinancialCoordinators Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,Sam

Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program

105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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.

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

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 message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

[Guest guest]

I’ve been told by our pharmacy that if the crossover claim info is set up in Medicare, the 20% coinsurance billing should go through without problem. This could be nonsense but it does SOMETIMES seem to be a solution. 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 Vazquez, L.Sent: Friday, May 11, 2012 1:06 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered I will call the commercial plan and ask them if the patient pays the 20% , will they work with them to reimburse them back. Thanks so much for all the answers Sam Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, May 11, 2012 1:03 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered When Medicare is primary to a commercial insurance, there very often is not a Medicare crossover process for the commercial insurance (compared to Medicare supplemental plans) to pay the pharmacy for the 20%. So the patient ends up paying the 20% and then working with the commercial insurance to reimburse that 20%. They often have to wait until they get their Medicare EOB stating what Medicare has paid before they can submit for reimbursement to their commercial plan. This ends up being something we have to prepare patients to have the funds to cover. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 3:27 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered They do have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this. Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Friday, May 11, 2012 12:26 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.Does patient have Part B?From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 2:22 PMTo: TxFinancialCoordinators Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered Hello, Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???Thanks,Sam Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.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.This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.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 message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

[Guest guest]

I’ve been told by our pharmacy that if the crossover claim info is set up in Medicare, the 20% coinsurance billing should go through without problem. This could be nonsense but it does SOMETIMES seem to be a solution. 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 Vazquez, L.Sent: Friday, May 11, 2012 1:06 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered I will call the commercial plan and ask them if the patient pays the 20% , will they work with them to reimburse them back. Thanks so much for all the answers Sam Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately. From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Battin, Daryl J.Sent: Friday, May 11, 2012 1:03 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered When Medicare is primary to a commercial insurance, there very often is not a Medicare crossover process for the commercial insurance (compared to Medicare supplemental plans) to pay the pharmacy for the 20%. So the patient ends up paying the 20% and then working with the commercial insurance to reimburse that 20%. They often have to wait until they get their Medicare EOB stating what Medicare has paid before they can submit for reimbursement to their commercial plan. This ends up being something we have to prepare patients to have the funds to cover. Daryl Battin~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~Ms. Daryl Battin, MSW/LICSWFinancial Coordinator/Social WorkerDepartment of Transplantation Lahey Clinic, 41 Mall Road, Burlington MA 01805Ph: Page: FAX: From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 3:27 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered They do have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this. Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Danner, SaraSent: Friday, May 11, 2012 12:26 PMTo: TxFinancialCoordinators Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.Does patient have Part B?From: TxFinancialCoordinators [mailto:TxFinancialCoordinators ] On Behalf Of Vazquez, L.Sent: Friday, May 11, 2012 2:22 PMTo: TxFinancialCoordinators Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered Hello, Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???Thanks,Sam Vazquez Kidney Transplant Financial Coordinator Providence Sacred Heart Medical Center Kidney Transplant Program 105 W Eighth Ave Suite 1000 Spokane, WA 99204 Tel: / Fax: samantha.vazquez@... This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.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.This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.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 message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and delete this message.

[Guest guest]

I have been working closely with our outpatient pharmacy to avoid those discharge medication issues that can be so much of a nightmare. They use something

called a COBA code – if the pharmacy bills Medicare B for immunos with the appropriate COBA code on their claim, then it should process with no copay for the patient – when appropriate.

I have attached a list of insurances with the COBA codes that our pharmacy biller gave to me. They are a separate business entity from us and do not have

access to our system for the most up to date insurance information. I have started providing them with the patient’s insurance information on the day of transplant, which has helped things go more smoothly.

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 on, :LPH Trnsplnt

Sent: Friday, May 11, 2012 4:24 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

I’ve been told by our pharmacy that if the crossover claim info is set up in Medicare, the 20% coinsurance billing should go through without problem. This could

be nonsense but it does SOMETIMES seem to be a solution.

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 Vazquez, L.

Sent: Friday, May 11, 2012 1:06 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

I will call the commercial plan and ask them if the patient pays the 20% , will they work with them to reimburse them back.

Thanks so much for all the answers

Sam

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart Medical Center

Kidney Transplant Program

105 W Eighth Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is

intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically

transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Battin, Daryl J.

Sent: Friday, May 11, 2012 1:03 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

When Medicare is primary to a commercial insurance, there very often is not a Medicare crossover process for the commercial insurance (compared to Medicare supplemental plans) to pay the

pharmacy for the 20%. So the patient ends up paying the 20% and then working with the commercial insurance to reimburse that 20%. They often have to wait until they get their Medicare EOB stating what Medicare has paid before they can submit for reimbursement

to their commercial plan. This ends up being something we have to prepare patients to have the funds to cover.

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:

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 3:27 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

They do have Medicare Part B primary. Blue Cross Blue Shield of New York is stating the prescription portion needs to cover as they will not. Then when you contact the

prescription benefits, they state they are to be billed primary or they will not pay and as you all know, we cannot do this.

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart Medical Center

Kidney Transplant Program

105 W Eighth Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is

intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically

transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Danner, Sara

Sent: Friday, May 11, 2012 12:26 PM

To: TxFinancialCoordinators

Subject: RE: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Immunos shouldn’t be billed to prescription plan at all. Part B and BC/BS medical coverage should be paying.

Does patient have Part B?

From:

TxFinancialCoordinators

[mailto:TxFinancialCoordinators ]

On Behalf Of Vazquez, L.

Sent: Friday, May 11, 2012 2:22 PM

To: TxFinancialCoordinators

Subject: [Marketing Mail] [Caution: Message contains Suspicious URL content] Immuno's being covered

Hello,

Is anyone else experiences problems with Blue Cross Blue Shield plans covering immunosuppressive medications? The problem I seem to be having is when the BC BS plan is secondary to Medicare and

the prescription plan under Blue Cross Blue Shield request to be billed primary. They are denying claims and leaving our patients with huge bills. Any suggestions or comments???

Thanks,

Sam

Vazquez

Kidney Transplant Financial Coordinator

Providence Sacred Heart Medical Center

Kidney Transplant Program

105 W Eighth Ave Suite 1000

Spokane, WA 99204

Tel: /

Fax:

samantha.vazquez@...

This electronic transmission and any documents accompanying this electronic transmission may contain information that is confidential and/or legally privileged. The information is

intended only for the use of the individual or entity named above. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution or the taking of any action in reliance on or regarding the contents of this electronically

transmitted information is strictly prohibited. If you have received this e-mail in error, please notify the sender and delete this message immediately.

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.

This message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not

the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and

delete this message.

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 message is intended for the sole use of the addressee, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not

the addressee you are hereby notified that you may not use, copy, disclose, or distribute to anyone the message or any information contained in the message. If you have received this message in error, please immediately advise the sender by reply email and

delete this message.

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.

1 of 1 File(s)

Eligibility-Based%20COBA%20list%20062811.pdf