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TPL. CODE Insuring Organization. 001 AETNA 002 AMALGAMATED LIFE & HEALTH CO. Address. P O BOX 981107 333 SOUTH ASHLAND BOULEVARD. City State Zip. EL PASO TX 79998 CHICAGO IL 60607. 003 BANKERS LIFE & CASUALTY CO. P O BOX 1935.
To ensure that Medicaid does not pay more than required, and to help recover Medicaid payments, when a third party is responsible to pay for all or some of the health care received by the Medicaid beneficiary.
Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan.
Preventing Medicaid payment when other health insurance coverage exists. Medicaid providers may use the ODM 06614, Health Insurance Fact Form, to inform the Cost Avoidance Unit of changes in third party insurance coverage. Forms may be faxed to: 614-728-0757. Third Party Liability mailbox: TPL@medicaid.ohio.gov.
Medicaid and Other Coverage: A Medicaid beneficiary may have a third party resource (health insurance, or another person or entity) that is liable to pay for the beneficiary’s health care. Who are “third parties”?
0012003000 anthems rx po box 746000 cincinnati oh 45274 8009628192 0001002400 APWU (CIGNA) PO BOX 188004 CHATTANOOGA TN 37422 8002222798 1030642674 AR BENEFITS PO BOX 8069 LITTLE ROCK AR 72203 8069 8004828416
the appropriate MassHealth seven-digit carrier code on claim submissions. The Eligibility Verification System (EVS) provides the most current information about the member’s other health insurance that is available in the Medicaid Management Information System (MMIS), including the carrier code.