Third Party Liability
Medicaid is the payer of last resort in most circumstances. Medicaid pays for services only after a liable third party has met its legal obligation to pay. OHCA is responsible for pursuing third party payers for both fee-for-service and SoonerCare program areas.
Third Party Liability (TPL) Carriers
The TPL Carriers are the health insurance companies with which OHCA maintains a third party resource/billing relationship. Third parties include but are not limited to, private health insurance, casualty insurance, worker's compensation, estates, trusts, tort proceeds and Medicare.
The list below includes the OHCA carrier number and carrier billing address.
Private Pay HMOs Medicare Replacement Policies List
Adjustments and Third Party Liability PowerPoint - Provider Training