the party who writes the check
The public or private organization that is responsible for payment for health care expenses. Payors may be insurance companies or self-insured employers.
A self-insured employer group, insurance company, multi-employer trust fund, employee organization, governmental unit, health maintenance organization, health care service contractor or any other entity which has developed a behavioral health plan for the provision of behavioral health services to members.
a contract holder, such as an insurer or a third party administrator, with First Choice Health Network that sponsors employer groups' access to our network of providers
a party who makes payment on a debt or related obligation
A health plan, medical group, hospital, employer, individual, or other entity that is financially responsible for payment of healthcare services.
Any Plan that provides benefits or services for, or because of, medical care or treatment, for which Covered Services are provided by: Group insurance or group-type coverage, whether insured or uninsured. This includes prepayment, group practice or individual practice coverage. Coverage under a governmental plan or coverage required or provided by law. This does not include a state plan under Medicaid (Title XIX, Grants to States for Medical Assistance Programs of the United States Social Security Act, as amended from time to time). Property and Casualty coverage.
an insurance company, third-party administrator, self-funded employer, managed care organization, or federal health benefit program (Medicare/Medicaid) that reimburses claims.
The entity or person authorized by Network to access one or more networks of Participating Providers developed by Network and that has the financial responsibility for payment of Covered Services provided under a Benefit Contract, including, but not limited to, insurance carriers, self-funded employers, third party administrators, trust funds, governmental programs, and administrative service groups.
The party that issues the transfer.
An organization or individual that pays for health care services. Insurance companies are called third-party payors, because they pay providers for their services based on premiums they receive from you and your employer or the government.
Any party responsible for payment of services rendered, usually an insurance company.
A person or organization which pays the hospital for services rendered to patients. This can be the patient and/or third parties such as Medicare, Medi-Cal, Blue Cross, managed care organizations, or other private insurance plans. (Also see Principal Payment Source).
Person who makes a payment, usually non-custodial parents or someone acting on their behalf, or a custodial party who is repaying a receivable.
