Party Liability (TPL) definition

Party Liability (TPL) means the responsibility of persons other than the Contractor or the Member for payment of claims for injuries or trauma sustained by Members. This may be contractual, a legal obligation or as a result of or the fault or negligence of third parties (e.g., auto accidents or other personal injury casualty claims or work compensation appeals). DHS is responsible for follow up and collection of Third Party Liability payments where it has paid for related care. ▇▇▇▇▇▇ Medical Centers 95-23637 Article II
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Examples of Party Liability (TPL) in a sentence

  • Semi- Annually OnBase CM-27 CM-27 Third Party Liability (TPL) Identification Reporting (Appendix H) 1.

  • It may be referred to as Third Party Liability (TPL) or includes Medicare.

  • Third Party Liability (TPL) Indicator Form — Form supplied to inpatient hospitals by EOHHS that is used to notify the Contractor when the hospital discovers that an Enrollee has comprehensive insurance coverage other than Medicare or Medicaid.

  • The Third Party Liability (TPL) processing function permits the Contractor to utilize the private health, Medicare, and other third-party resources of its Members and ensures that the Contractor is the payer of last resort.

  • Third Party Liability (TPL) – Any amount due for all or part of the cost of medical, behavioral health, or long-term care services from a third party.

  • Contractors processing claims submitted from the DVA/ VHA medical facilities shall continue to use the usual claims processing procedures to include medical necessity, Explanation of Benefits (EOB), Other Health Insurance (OHI) and Third Party Liability (TPL).

  • Third Party Liability (TPL) – Any individual, entity, (e.g., insurance company) or program (e.g., Medicare) that may be liable for all or part of a Member’s health care expenses.

  • Third Party – For purposes of the definition of Third Party Liability (TPL), any individual, entity or program that is or may be liable to pay all or part of the expenditures for Health Care Services.

  • Third Party Liability (TPL) – Any amount due for all or part of the cost of Health Care Services from a Third Party.

  • Should any discharge, leakage, spillage, emission, or pollution of any type occur upon or from the Property due to Borrower’s operation, use and/or occupancy thereof, Borrower, at its expense, shall clean all property affected thereby to the satisfaction of the Lender and any governmental body having jurisdiction thereover.