Third Party Liability and Recoveries

The Office of Recovery performs third party functions in two ways: by avoiding Medicaid payments when other commercial or public health insurance carriers should pay for a service; and by recovering Medicaid payments made prior to the identification of  a legally-obligated third-party source.  Third party liability (TPL) refers to the legal obligation of health care sources (third party sources) to … Continue reading Third Party Liability and Recoveries