CONTACTS 

SUBJECTS
Billings Doctor Knows Nothing Coinsurance Clinical Trial Authorizati

3803 -
3803 -    ..
3804 - Summary/Objective
3805 -
380501 - Follow up ref SDS 5 0000, ref SDS 4 0000.
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380509 -  ..
3806 -
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3808 - Progress
3809 -
380901 - Doctor Does Not Remember Agreement Pay Costs Patient Treatment
380902 -
380903 - Follow up ref SDS 5 I49K.
380904 -
380905 - Received ref DRT 1 0001 copy of a letter from Millie's primary care
380906 - physician at Kaiser to Doctor Rugo, the Clinical Trial Research
380907 - Director at UCSF, and responding to a letter from Millie on 070906
380908 - requesting assistance, ref SDS 5 KC8S, and further commenting on the
380909 - response letter submitted by Clinical Trial Director at UCSF received
380910 - also on 070906. ref SDS 5 I49K
380911 -
380912 -    1.  I as well have nothing to do with billing.  I did call Outside
380913 -        Authorizations at Kaiser and inquired again.  The response was
380914 -        that this was a Medicare issue since Milly has Medicare.
380915 -        ref DRT 1 0001
380917 -         ..
380918 -    2.  Sorry. ref DRT 1 OL8R
380920 -  ..
380921 - Kaiser's letter today from the primary care physician may conflict
380922 - with Kaiser's letter on 061230 making referral for Millie's treatment
380923 - and agreeing Kaiser will pay any costs not covered by the clinical
380924 - trial. ref SDS 2 3X6K  Additionally, on 070119 the doctor reported
380925 - that authorization for the referral was submitted. ref SDS 3 4R4M
380927 -  ..
380928 - There is no mention in the letter today of Kaiser's guidance to
380929 - doctors on clinical trial procedures, received yesterday from
380930 - assistant to primary care physician. ref SDS 6 3L8G
380932 -  ..
380933 - On 060809 Kaiser letter reported sending patients on referral for
380934 - needed treatment anywhere in the country. ref SDS 1 NT9X
380935 -
380936 -            [On 070909 letter to Kaiser and to UCSF notifying charges
380937 -            for coinsurance conflicts with agreement on 061230 that
380938 -            Kaiser would pay any costs not covered by clinical trial,
380939 -            ref SDS 7 6O4U, and submit interim payment of copayments
380940 -            for doctor visits, pending submission of justification for
380941 -            charges when UCSF represents cost of doctor visits are paid
380942 -            by the clinical trial. ref SDS 7 XM4F
380944 -             ..
380945 -            [On 070917 UCSF revised claim reduced to $1,500, annualized
380946 -            reduction from $10K down to about $2K per year, ref SDS 8
380947 -            WO4O, which more than doubles copayment costs typically
380948 -            incurred for the work involved. ref SDS 8 G68H
380950 -  ..
380951 - The letter from UCSF yesterday related that Millie was referred by
380952 - Kaiser, ref SDS 5 UK5M, and that the doctor investigated costs, and
380953 - did not notify the patient there would be any charges above insurance
380954 - premiums paid to Kaiser. ref SDS 5 I49K
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3810 -