TPR SUBSYSTEM. HMO's third party recovery system must have the following capabilities and capacities: (1) Identify, store, and use other health coverage available to eligible Members or third party liability (TPL) including type of coverage and effective dates. (2) Provide changes in information to TDH as specified by TDH. (3) Receive TPL data from TDH to be used in claim and encounter processing.
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Samples: Contract for Services (Amerigroup Corp), Contract for Services (Centene Corp), Contract for Services (Amerigroup Corp)
TPR SUBSYSTEM. HMO's third party recovery system must have the following capabilities and capacities:
(1) Identify, store, and use other health coverage available to eligible Members or third party liability (TPL) including type of coverage and effective dates.
(2) Provide changes in information to TDH as specified by TDH.
(3) Receive TPL data from TDH to be used in claim and encounter processing.. 1999 Renewal Contract Tarrant Service Area 111 August 9, 1999 112
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TPR SUBSYSTEM. HMO's third party recovery (TPR) system must have the following capabilities and capacities:
(1) . Identify, store, and use other health coverage available to eligible Members or third party liability (TPL) including type of coverage and effective dates.;
(2) . Provide changes in information to TDH HHSC as specified by TDH.HHSC; and
(3) . Receive TPL data from TDH HHSC to be used in claim and encounter processing.
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