Third Party Recovery (TPR. Reports - The HMO must file TPR Reports in accordance with the format developed by HHSC in the Uniform Managed Care Manual. HHSC will require the HMO to submit TPR reports no more often than quarterly. TPR reports must include total dollars recovered from third party payers for each HMO Program for services to the HMO’s Members, and the total dollars recovered through coordination of benefits, subrogation, and worker’s compensation.
Third Party Recovery (TPR. The recovery of payments on behalf of an Enrollee by HHSC, CMS or the STAR+PLUS MMP from an individual or entity with the legal responsibility to pay for the Covered Services.
Third Party Recovery (TPR. Reports. HMO must file quarterly ---------------------------------- Third Party Recovery (TPR) Reports in accordance with the format developed by TDH. TPR reports must 1999 Renewal Contract Xxxxxx Service Area August 9, 1999 106 include total dollars recovered from third party payers for services to HMO's Members for each month and the total dollars recovered through coordination of benefits, subrogation, and worker's compensation.
Third Party Recovery (TPR. Reports. HMO must file quarterly Third Party Recovery (TPR) Reports in accordance with the format developed by TDH. TPR reports must include total dollars recovered from third party payers for services to HMO's Members for each month and the total dollars recovered through coordination of benefits, subrogation, and worker's compensation.
