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Re: BCBS HMO

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There should be a Case Manager assigned,

talk to this Nurse and explain the situation. I think they can retro the

auth to cover the transplant with medical records and a letter of medical

necessity. Good luck.

Mrs. Nury ino

Financial Counselor, Transplant Program

Tampa General Hospital

Patient Accounts, 6th floor E. Pavillion

(813)844-4665 office

(813)844-8499 fax

npaulino@...

" , "

Sent by: TxFinancialCoordinators

03/19/2007 08:54 AM

Please respond to

TxFinancialCoordinators

To

<TxFinancialCoordinators >

cc

Subject

BCBS

HMO

Goodmorning All ,

Has anyone tried to obtain

a Transplant auth after the fact.

Here is the Scenario:

We had a Pt be called in on yesterday

and rec'd a Transplant. She had no malignancies. but no pre auth was initiated

for the surgery. But I have run into interference when trying to

obtain the surgical approval from BCBS MA in the past Pre Surgery......

Any thoughts?

Angie

Transplant Financial Coordinator

Brigham and Women's Hospital

Boston MA 02115

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