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    Third Party Liability Coordination of Benefits

    This page contains information for Medical Assistance providers regarding the Department of Public Welfare’s efforts to coordinate payment of benefits with other insurances which Medical Assistance recipients may have.  In addition, it outlines activities to recover payments made by Medical Assistance which were the responsibility of the other insurers.

    Resources:

    Medical Assistance Bulletin: Time Limit for Claim Resubmissions and Recovery of Overpayments

    HMS - Commercial Disallowance Talking Points & Letter - February 26, 2014

    HMS - Commercial Disallowance Talking Points & Letter - October 30, 2013

    HMS - Commercial Disallowance Talking Points & Letter - July 26, 2013

    HMS - Commercial Disallowance Talking Points & Letter - April 8, 2013

    HMS - Commercial Disallowance Talking Points & Letter - December 20, 2012

    HMS - Commercial Disallowance Talking Points & Letter - August 24, 2012

    HMS - Commercial Disallowance Letter - May 31, 2012

    HMS - Commercial Disallowance Talking Points - May 31, 2012

    HMS - Commercial Disallowance Talking Points - March 1, 2012

    HMS - Medicare Disallowance Talking Points - April 18, 2012

    HMS - Medicare Disallowance Talking Points - April 17, 2012

    HMS - Medicare Disallowance Talking Points - January 19, 2012

    HMS - Medicare Disallowance Talking Points - January 18, 2012

    HMS - Medicare Disallowance Talking Points - March 2, 2011

    HMS - Medicare Part A Disallowance Talking Points & Letter - February 26, 2014

    HMS - Medicare Part A Disallowance Talking Points & Letter - October 30, 2013

    HMS - Medicare Part A Disallowance Talking Points & Letter - July 26, 2013

    HMS - Medicare Part A Disallowance Talking Points & Letter - December 20, 2012

    HMS - Medicare Part A Disallowance Talking Points & Letter - August 30, 2012

    HMS - Medicare Part A Disallowance Talking Points & Letter - April 8, 2013

    HMS – Medicare Part B Disallowance Talking Points & Letter - February 27, 2014

    HMS – Medicare Part B Disallowance Talking Points & Letter - October 17, 2013

    HMS - Medicare Part B Disallowance Talking Points & Letter - July 5, 2013

    HMS - Medicare Part B Disallowance Talking Points & Letter - March 27, 2013

    HMS - Medicare Part B Disallowance Talking Points & Letter - November 7, 2012

    Third Party Liability Commercial Recoupment Letter and Instructions - August 26, 2011

    Third Party Liability Recoupment Project Talking Points - August 26, 2011

    Third Party Liability Timely Filing Letter - May 24, 2013

    Third Party Liability Timely Filing Letter - April 11, 2012

    Please use the links below to find additional information.