Non par with BDCT and post-Tx f/u Care with Immunos

[Guest guest]

Good morning fellow TFC’s, I have a patient listed for Liver Tx. He has much higher IN Network BDCT level of coverage. We are non-BDCT par, so OON benefits at 50% after $500 DED but no OOP at our facility.We asked for IN Network exception. It was denied. We appealed and denial was upheld. Pt is auth’ed for OLT, though.Unable to negotiate OON deal. Patient is willing to pay difference of our local BC contracted rate. My question is regarding the post-Tx f/u care coverage. At which rate (regular medical services at 80%) will it be covered?How about Immunos? Has anyone had a similar case with BDCT? Thank you,Fahmy.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.