Third Party Liability (TPL) definition

Third Party Liability (TPL) means the legal responsibility of another individual or entity to pay for all or part of the services provided to Members under the Contract (see 1 TAC §354.2301 et seq., relating to Third Party Resources).

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Third Party Liability (TPL) means other health insurance coverage. This insurance

Third Party Liability (TPL) means the legal respon- sibility of an identified third party or parties to pay all or part of the cost of health care for a WAH client. See client obliga- tions in establishing TPL under WAC 182-503-0540.

Examples of Third 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.

More Definitions of Third Party Liability (TPL)

Third Party Liability (TPL) means the payment obligations of the TPP for health care services rendered to a member when the member also has third party benefits as described in paragraph (VV) of this rule.

Third Party Liability (TPL) means the legal respon- sibility of an identified third party or parties to pay all or part of the cost of health care for a ((medical assistance)) Wash- ington apple health (WAH) client. A ((medical assistance)) WAH client's obligation to help establish TPL is described in WAC ((388-505-0540)) 182-503-0540.

Third Party Liability (TPL) means the legal respon- sibility of an identified third party or parties to pay all or part of the cost of health care for a ((Washington apple health ())WAH(())) client. ((A WAH client's obligation to help establish TPL is described in)) See client obligations in estab- lishing TPL under WAC 182-503-0540.

Third Party Liability (TPL) means the payment obligations of the Third Party Payer (TPP) for health care services rendered to eligible Medicaid consumers when the consumer also has third party benefits.

Third Party Liability (TPL) means the resources available from a person or entity that is, or may be, by agreement, circumstance or

Third Party Liability (TPL) means the legal responsibility of another individual or entity to pay for all or part of the services provided to Members under this contract (see 1 TAC Chapter 354, Subchapter J, relating to Third Party Resources). THIRD PARTY RECOVERY (TPR) means the recovery of payments made on behalf of a Member by HHSC or HMO from an individual or entity with the legal responsibility to pay for the services. TP 40 means Type Program 40, which is a TDHS Medicaid program eligibility type assigned to pregnant women under 185% of the federal poverty level (FPL). TP 45 means Type Program 45, which is a TDHS Medicaid program eligibility code assigned to newborns (under 12 months) who are born to mothers who are Medicaid eligible at the time of the child's birth.

Third Party Liability (TPL) means any entity that is, or may be, liable to pay all or part of the medical cost of care for a Medicaid eligible client.