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Health plans (hps) are required by ahcccs contract to submit new additions and updates to existing commercial third party insurance coverage information associated with their enrolled medicaid members Once we receive your response and determine no other party was responsible for your injury/condition, we will process your claims according to your health plan benefits. This tpl information is processed, verified and stored in the ahcccs pmmis database.
New or corrected tpl information does not need to be reported to boc for reapplications that are denied unless the information applies to a period of previous medical eligibility. You may verify member eligibility through the provider online service center It is possible for medicaid beneficiaries to have one or more additional sources of coverage for health care services.
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