When the Recipient Has
Other Insurance
Introduction
If the recipient has other insurance coverage, Medicaid payment will be denied unless the provider indicates receipt of a third party payment or attaches a denial from the other insurance company or documentation that the other insurance company will not cover the service.
Note: See Chapter 1 of the Florida Medicaid Provider General Handbook for information about third party liability (TPL).
Insurance Information on the Remittance Voucher
If the recipient has other insurance, the third party carrier code appears on
the remittance voucher underneath the denied claim.
Note: A list of third party carrier codes and carrier billing information can
be obtained from the Medicaid fiscal agent’s website at http://floridamedicaid.acs-inc.com or from the fiscal agent’s field
representatives.
Note: See Chapter 1 in the Florida Medicaid Provider General Handbook for information on third party liability.
Record Recipient Insurance Information
The provider should record other insurance coverage information reported on the remittance voucher in the recipient’s file for future use. Remittance voucher insurance information is specific to the individual recipient.
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