Common use of Responsibilities Regarding Third Party Liability Clause in Contracts

Responsibilities Regarding Third Party Liability. For coordinating benefits in Medicaid managed care as a component of third party liability (TPL), Medical Services Entity acknowledges that Corporation is the payer of last resort. Accordingly, if a Member has coverage with another plan that is primary to the Medicaid managed care plan administered by BCSBNM, Medical Services Entity must submit a claim for payment to that plan first and then to Corporation within 180 days from the other insurance paid date. The amount payable by Corporation will be governed by the amount paid by the primary plan and the Medicaid secondary payer regulations at Sections 8.302.3.1, et seq., NMAC.

Responsibilities Regarding Third Party Liability. For coordinating benefits in Medicaid managed care as a component of third party liability (TPL), Medical Services Entity acknowledges that Corporation is the payer of last resort. Accordingly, if a Member has coverage with another plan that is primary to the Medicaid managed care plan administered by BCSBNMCentennial Care 2.0, Medical Services Entity must submit a claim for payment to that plan first and then to Corporation within 180 days from the other insurance paid date. The amount payable by Corporation will be governed by the amount paid by the primary plan and the Medicaid secondary payer regulations at Sections 8.302.3.1, et seq., NMAC.

Responsibilities Regarding Third Party Liability. For coordinating benefits in Medicaid managed care as a component of third party liability (TPL), Medical Services Entity acknowledges that Corporation is the payer of last resort. Accordingly, if a Member has coverage with another plan that is primary to the Medicaid managed care plan administered by BCSBNM, Medical Services Entity must submit a claim for payment to that plan first and then to Corporation within 180 days from the other insurance paid date. The amount payable by Corporation will be governed by the amount paid by the primary plan and the Medicaid secondary payer regulations at Sections 8.302.3.1, et seq., NMAC.. [4.9.28]