Hi all,
Perhaps someone can help? I verified benefits for a Tricare member and was told that everything is active, good to go, etc..... Then all of our (LCSW) claims were denied due to non-active service member/not eligible. UGH!
AND FYI, I verified benefits while the patient was in the midst of treatment (I was hired by LCSW at that time), so it's not like it was active when I called, then suddenly terminated.
The patient is getting a 3 month retroactive Medicaid to cover her bills (had a baby!) that were denied by Tricare.
BUT, would NYS Medicaid pay for the denied services provided by an LCSW? Medicaid usually only covers LCSWs if the patient has Medicare primary and NYS Medicaid 2ndry.....
any guidance appreciated!
thanks!