Priority Health's Medicaid Claims Incorrectly Rejecting

May 26, 2023

Priority Health is experiencing an issue with their Medicaid claims front-end rejecting for “Claim Type Requires a Referring/Ordering NPI” when they shouldn’t.  Priority Health teams are working to find the root cause and fix the issue as quickly as possible. Until then, they recommend you don't rebill those claims!


Their goal is to reprocess any impacted claims after the issue is resolved. If they are unable to reprocess claims, they’ll publish an update with next steps, and we'll put that update here in the NEWS section of the Lakeland Care website.


Priority values your partnership and the care you provide to our members, and they sincerely apologize for any inconvenience this has caused.  They appreciate your patience and understanding.