Third Party Liability (TPL) Claims for FQHC, RHC and IHS Providers, TR 40108

February 21, 2014

Claims where the entire claim has been used to satisfy the deductible and the primary payer has not made a payment should be paying the provider’s rate, but are incorrectly paying the primary payer’s allowed amount. This issue is being addressed and claims will be reprocessed. No provider action is needed.