Primary payer definition
Primary payer means the payer responsible for the highest percentage of the charges for a patient's inpatient or outpatient hospital services;
Primary payer means the payer, other than the patient,
Primary payer means the payer, other than the patient, who is or was legally required or responsible to make payment with respect to an item or service, or any portion thereof, before any other payer, other than the patient.
More Definitions of Primary payer
Primary payer means, when used in the context in which Medicare is the secondary payer, any entity that is or was required or responsible to make payment with respect to an item or service (or any portion thereof) under a “primary plan”. These entities include, but are not limited to, insurers or self-insurers, third party administrators, and all employers that sponsor or contribute to group health plans or large group health plans. 42 C.F.R. § 411.21. “Primary plan” means, among other items, automobile or liability insurance. 42 U.S.C. § 1395y(b)(2)(A)(ii).