Member Responsibilities Related to Hospital Discharges

Last Updated: July 5, 2024

The chart below summarizes the effect on member responsibilities of appeal decisions related to hospital discharges.

If...	Then...
The Quality Improvement Organization (QIO) agrees with the doctor’s decision to end covered services	The member is financially responsible for services on the date indicated on the Notice of Medicare Non Coverage.
The QIO disagrees with the doctor’s decision to end covered services	Blue Cross and Blue Shield of Nebraska will continue to cover the services.