tpl Archives - Page 2 of 2 - Syrtis Solutions Test

10 Oct How Rx Claims Trigger Cost Avoidance

Posted at 22:01h in Third Party Liability

When ProTPL discovers other health insurance, you can reverse the latest claim and ensure that future claims, whether pharmacy or medical, aren’t paid in error. Discovering other health insurance fast, triggered by Pharmacy claims, allows you to intercept the medical claims, such as office or...

05 Aug Insights on How the Medicaid Management Information System Makes Use of TPL Data

Posted at 12:59h in Third Party Liability

Third parties are organizations or people who are legally liable for paying the healthcare claims of Medicaid beneficiaries. Federal legislation and policies mandate states to guarantee that Medicaid is to be the payer of last resort. Medicaid beneficiaries are consequently obligated to utilize all other...

13 Sep Effective TPL Plan Components That Ensures Cost Avoidance

Posted at 19:13h in Coordination of Benefits, Deficit Reduction Act, Medicaid, Payers of Last Resort, Third Party Liability

In the previous postings, we discussed the three main "practices" states should adopt in order to cost avoid and save taxpayer money. For states to have a truly effective TPL plan, timely discovery of any additional coverage is needed at the time of Medicaid enrollment....

23 Aug State Practice 1: Insurer Cooperation

Posted at 23:45h in Medicaid, Payers of Last Resort, Third Party Liability

For any state to gain an effective TPL plan, immediate and effective discovery of additional coverage is needed at Medicaid enrollment. Also, cost avoidance discovery must take on immediacy when claims are made and past mistakes need to be solved quickly. What works best is...

tpl Tag

10 Oct How Rx Claims Trigger Cost Avoidance

05 Aug Insights on How the Medicaid Management Information System Makes Use of TPL Data

13 Sep Effective TPL Plan Components That Ensures Cost Avoidance

23 Aug State Practice 1: Insurer Cooperation

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