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What happens if the hospital does not pre-notify my admission and I am covered under Plan C of the ESF Medical Health & Welfare Plan?

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What happens if the hospital does not pre-notify my admission and I am covered under Plan C of the ESF Medical Health & Welfare Plan?

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It is the responsibility of the hospital to pre-notify all admissions by calling 1-877-335-4725 once you have given them the information by presenting your ID card. Remind your provider to call for pre-notification when you know that you will be admitted. If it is an emergency visit, the facility may call within 24 hours after the admission. If the hospital or surgi-center fails to call and give MagnaCare the required information, the facility will not receive payment from the Plan. The hospital/surgi-center can appeal to MagnaCare to receive payment, but it must provide all of the documentation pertinent to the admission.

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