Exactly the same as Public Liability Insurance, involving three parties - the insured as first party, the insurer as second party, and the other person involved as third party.
When a Beneficiary sues another party due to an accident, such as a fall on someone's property.
The resources available from a person or entity that is or may be, by agreement, circumstance or otherwise, liable to pay all or part of the medical expenses incurred by a CMDP eligible foster child.
A category under which insurance providers are billed for medical expenses incurred by recipients of public assistance who have medical insurance in addition to coverage provided through public assistance. In these cases, the state pays the difference between the amount of the medical bill and the amount the insurance company has paid.
TPL refers to the legal obligation of certain health-care sources to pay the medical claims of Medicaid beneficiaries before Medicaid pays these claims. Ordinarily, Medicaid pays only after the TPL sources have met their legal obligation to pay. Third parties include: private health insurance, Medicare, employment related health insurance, medical support from noncustodial parents, court judgements or settlements from a liability insurer, State worker's compensation, first party probate estate recoveries, long term care insurance, and other federal programs.
An insurance coverage which insures against an accident that damages someone else’s property, or injures or kills someone else.
Medical services that may be a result of a third party must first be reviewed for liability before TRICARE can consider payment. A Third Party Liability (TPL) form must be completed which explains whether or not another party may be responsible for making payment before TRICARE.
Liability of the insured to persons who are not parties to the contract of insurance.
liability of the insured to a person or persons who are not directly involved in the insurance contract.
A category under which the state pays the difference between the amount of the medical bill and the amount the insurance company has paid. This occurs only when a public assistance recipient has medical insurance in addition to coverage provided by the public assistance program.