Third Party Liability (TPL) Claims Overpaid in Error, TR 36195

January 23, 2014

Some TPL claims were overpaid in error. If MaineCare does not recognize a primary insurance carrier, but you submit claims for services after the primary insurance paid, these claims are being paid as if MaineCare is primary and therefore being overpaid. MIHMS has recently been updated. Affected claims will be reprocessed correctly according to the MaineCare Benefits Manual. No provider action is needed.