Examples of TPR in a sentence
It is the provider’s responsibility and in his/her best interest to solicit TPR information from the participant or caretaker at the time service is provided whether or not MHD is aware of the availability of a TPR.
If the participant does not have any additional health insurance coverage either known or unknown to the MO HealthNet agency, a provider not affected by the specified coverage, such as a dental provider, does not need to complete any fields relating to TPL on the claim form for services provided to that participant.5.2.B SOLICITATION OF TPR INFORMATIONThere may be coverage available to the participant that is not known to MHD.
MO HealthNet is not responsible for payment of claims denied by the third party resource if all required forms were not submitted to the TPR, if the TPR’s claim filing instructions were not followed, if the TPR needs additional information to process the claim or if any other payment precondition was not met.
The MO HealthNet agency must be able to identify that the denial originated from the TPR and the reason for the denial is clearly stated.
These time periods are not the same as those indicated by the Time Pattern Regime (TPR) assigned to the Standard Settlement Configuration (SSC).