Re: Kidney Immuno Billing

[Guest guest]

Yes, the medical portion of the insurance would take care of the coinsurance as long as Medicare is primary and the plan coordinates benefits w/ Medicare.

I hope this helps!

Leah Knowles

Subject: Kidney Immuno BillingTo: TxFinancialCoordinators Date: Wednesday, June 9, 2010, 1:37 PM

For immunos covered under Part B, isn't the remaining 20% to be billed to the patient's secondary medical plan?My situation is: patient has Medicare (A,B,D) primary, BC/BS of IL secondary, and IL Cares RX additionally. Shouldn't the BC/BS of IL be picking up the 20% for immunos at the pharmacy?

[Guest guest]

I am finding that most plans will not

reimburse the pharmacy quickly enough or will only do paper billing so the

patient pays the 20% copay and then sends that to their commercial plan for

reimbursement. If the patient has a deductible with their commercial plan,

they often have to meet that deductible first before their plan will reimburse

the 20%.

Ms. Daryl

Battin, MSW/LICSW

Financial

Coordinator/Social Worker

Department of

Transplantation

Lahey Clinic, 41 Mall Road, Burlington

MA 01805

Ph:

/ FAX:

Page:

From:

TxFinancialCoordinators [mailto:TxFinancialCoordinators ]

On Behalf Of lmk_276@...

Sent: Wednesday, June 09, 2010

2:46 PM

To:

TxFinancialCoordinators

Subject: Re:

Kidney Immuno Billing

Yes, the medical portion of the insurance would take

care of the coinsurance as long as Medicare is primary and the plan

coordinates benefits w/ Medicare.

I hope this helps!

Leah Knowles

From: Sara <danner.saramhsil>

Subject: Kidney Immuno Billing

To: TxFinancialCoordinators

Date: Wednesday, June 9, 2010, 1:37 PM

For immunos covered

under Part B, isn't the remaining 20% to be billed to the patient's secondary

medical plan?

My situation is: patient has Medicare (A,B,D) primary, BC/BS of IL secondary,

and IL Cares RX additionally. Shouldn't the BC/BS of IL be picking up the 20%

for immunos at the pharmacy?

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.