Third Party Liability definition

Third Party Liability means both of the following:

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Third Party Liability has the meaning ascribed thereto in Section 8.3.2;

Third Party Liability or "TPL" means all or part of the expenditures for a managed care enrollee's medical assistance furnished under the Oklahoma Medicaid State Plan that may be the liability of a third-party individual, entity or program.

Examples of Third Party Liability in a sentence

• The MCOP must provide ODM with TPL information, including a change file based on reconciliation with ODM's data (Third Party Liability Data File), as specified in Appendix T, Chart of Deliverables.

• The Agency shall make a reasonable effort to obtain information from Enrolled Clients regarding third party payers and shall make a reasonable effort to bill and collect Third Party Liability.

• Third Party Liability shall include but not be limited to payments for the federal share of Medicaid, Medicare and private insurance.

• Plan Providers have agreed to accept the Blue Shield’s payment as payment-in-full for Covered Services, except for Deductibles, Copayments, Coin- surance, amounts in excess of specified Benefit max- imums, or as provided under the Exception for Other Coverage provision and the Reductions section re- ▇▇▇▇▇▇▇ Third Party Liability.

• Insurances required to comply with all statutory requirements including, but not limited to, Employers’ Liability Insurance and Motor Third Party Liability Insurance.

More Definitions of Third Party Liability

Third Party Liability means the liability of ARTC and/or the Operator to any third party (not being a related entity as defined in the Corporations Act 2001) who suffers any personal injury, property or economic loss or damage as a consequence of an Incident.

Third Party Liability means claims that are the responsibility of someone other than this Student Plan. The liable party may be a person, firm, or corporation. Auto accidents and ‘slip- and-fall’ property accidents are examples of common third party liability cases.

Third Party Liability means the liability of a heating oil tank owner to another person due to property damage requiring correc- tive action or bodily injury that results from a leak or spill from a heating oil tank.

Third Party Liability means the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all the expenditures for medical assistance furnished under a Medicaid state plan. By law, all other available third-party resources must meet their legal obligation to pay claims before the Medicaid program pays for the care of an individual eligible for Medicaid.

Third Party Liability means any individual, entity, or program that is or may be liable to pay all or part of the expenditures for medical assistance furnished to a member under a state plan.

Third Party Liability means the resources available from a person or entity that is or may be, by Agreement, circumstances, or otherwise, liable to pay all or part of the medical expenses incurred by a Division client (A.A.C. R6-6-101.71 and A.A.C. Title 9, Chapter 22, Article 10).

Third Party Liability means sources available to pay all or a portion of the cost of services incurred by a person.