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MA PAP212

Changes in Member Status


Provider Administrative Policy

Section
Provider Information
Policy Date
November 2007
Status/Date
Reviewed/May 2008

Disclaimer

Our provider administrative policies contain information regarding claims submission, reimbursement, and other information in order to achieve an efficient relationship with our providers. These policies are not an authorization or explanation of benefits. Blue Cross of Idaho retains the right to add to, delete from and otherwise modify this policy in accordance with our provider contracts.

Policy

Changes in Member Status

Please notify us when changes in member`s status are a result of:

  • End-stage renal disease (ESRD)
  • Changing residence to an institution
  • Hospice care
  • Notification of permanent move out of Medicare Advantage plan service area

If you become aware of a Medicare Advantage member for whom one of the above applies, please notify Medicare Advantage (see MA PAP102  for contact information). This notification will help us assure the member receives appropriate benefits and the Centers for Medicare and Medicaid Services is notified of the member’s change status.


Policy History

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