Provider Connection

Lockhart Liens

wooden gavel and books on wooden table

Medical providers have inquired about the basis for reduced payments for medical services due to “Lockhart” liens against the medical provider’s fees for those services.

The basis for Lockhart liens is a decision by the Montana Supreme Court in Lockhart v. New Hampshire Ins. Co., et al, 295 Mont 4677, 984 P.2d 744 (1999).  In that case, the Supreme Court reversed the lower court by holding that: “[a] proper and timely retainer agreement was filed in these cases and thus, an attorney fee lien has attached as a matter of law to all medical benefits paid.” Lockhart, 295 Mont. ¶26.  As such, the insurer must honor the lien and remit to the attorney the amount of the lien that attached to the medical benefits.  In the case of workers’ compensation insurance benefits, the lien amount will be 20% of the fee schedule amount unless the matter went to the Workers’ Compensation Court or Montana Supreme Court in which case the attorney lien will be 25% of the fee schedule amount.

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Bill Status – 1-866-274-7464

Main Phone Number 406-495-5000 or 800-332-6102

Main Fax  406-495-5020

Medical Team – 406-495-5011

Submit your Claims and/or Correspondence To
Montana State Fund
PO Box 4759
Helena, MT  59604

RMS (Bill Status)
Phone  866-274-7464

For questions about information in this bulletin, call 800-332-6102 and ask for a member of the Medical Team.
For questions about Advanced Nurse Review contact Kym Vonada at 406-495-5389.

Medical Team

Michele Fairclough
Medical Team Leader

Justin Kennedy
Nurse Manager

Shannon Hadley
Provider Relations Specialist

Kym Vonada
Medical Auditor

Annalyn Stewart
Medical Payment Auditor

Sheryl Semans
Pharmacy Liaison

Susan Bomar
Medical Payment Auditor

Cindy Gallus
Medical Customer Service Liaison

Sherri Sprenger
Medical Customer Service Liaison

Shannon Mergenthaler
Medical Customer Service Liaison

Maggie Pentecost
Medical Customer Service Liaison

Jamie Statton
Medical Customer Service Liaison

Website Information

Montana State Fund

Department of LaborDepartment of Labor and Industry (DLI) website.
The website includes the Facility and Non-Facility Fee Schedule information as well as the Administrative Rules of Montana (ARM) and the instruction set for the Non-Facility Fee Schedule. Historical fee schedule information can also be found on this website.

If you have questions regarding the fee schedules call 406-444-6530 and someone will direct you to a DLI representative. For NPI information click here National Plan and Provider Enumeration System (NPPES)