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March 2024

We’re no longer mailing some letters related to Medicare Advantage inpatient admissions

As of Jan. 17, 2024, we’re no longer using the U.S. mail service to send some letters related to acute medical or surgical inpatient admissions for our Medicare Advantage (Medicare Plus Blue℠ and BCN Advantage℠) members. The affected letters are those that indicate:

  • We’ve bundled admissions for a member for billing purposes.
  • We’ve denied an inpatient authorization request for a member.

We’re now sending these letters to facilities by eFax or through the Case Communication field in the e-referral system.

When it’s not possible to use eFax or the e-referral system, we’ll send these letters though the U.S. mail.

As a reminder, we stopped using the U.S. mail to send approval letters for inpatient authorization requests for these members in 2023.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2023 American Medical Association. All rights reserved.