Discontinuation of the Advance Beneficiary Notices of Non-Coverage (ABN) Form

In accordance with instructions received from CMS on May 5, 2014, the Advance Beneficiary Notices of Non-coverage (ABN) form can no longer be used for Medicare Advantage or Medicare Cost Plan enrollees. Please discontinue use of this form immediately. An ABN is a written notice given to a Medicare beneficiary by a physician, provider, or supplier (including laboratories) before an item or service is rendered when the provider believes that Medicare payment for the item or service may be denied. CMS requires that a Medicare Advantage Plan or Medicare Cost Plan inform a subscriber if a service is covered, at the subscriber’s request, within 14 days of the request.

 

Source: https://www.bluecrossmn.com/internet_core/en_US/ccurl/274/876/Final_ ABN_Discontinued_Bulletin.pdf