Medical Billing Forum

Billing => Billing => Topic started by: Shawn123 on February 09, 2018, 10:27:47 AM

Title: Member is locked-in to another provider
Post by: Shawn123 on February 09, 2018, 10:27:47 AM
Hi Guys,
I have been receiving this denial from GA Medicaid as the member is locked-in to another provider, but our provider is the only provider who sees this patient for dialysis treatment.

Any solution? Waiting for your experts responses.
Title: Re: Member is locked-in to another provider
Post by: PMRNC on February 13, 2018, 09:26:41 AM
Sounds like it's something to do with the referal and/ or PCP? Patient might have to contact Medicaid to get it taken care of or call their pcp on file.