PA.gov
Apply for Benefits

Contact Us
Contact Us 1-800-692-7462
 
E-mail Us E-mail Us
Welfare Fraud TipLine

Welfare Fraud TipLine 1-800-932-0582

View hot line data here

  • 17,803 complaints received
  • 5,003 Field Investigations
  • $16,348,986 saved
  • October 1, 2013 - September 30, 2014

    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 - August 15, 2014

    HMS - Commercial Disallowance Talking Points & Letter - May 15, 2014

    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 - Medicare Part A Disallowance Talking Points & Letter - August 4, 2014

    HMS - Medicare Part A Disallowance Talking Points & Letter - May 15, 2014

    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 - April 8, 2013

    HMS - Medicare Part B Disallowance Talking Points & Letter - August 6, 2014

    HMS - Medicare Part B Disallowance Talking Points & Letter - May 16, 2014

    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

    Third Party Liability Commercial Recoupment Letter

    Third Party Liability Recoupment Project

    Third Party Liability Timely Filing Letter - October 16, 2014

    Please use the links below to find additional information.