When checking
eligibility, sometimes, there is COMMERCIAL INSURANCE listed on the Medicaid
website as primary payer. After checking the primary payer websites, I find
that the commercial insurance has terminated - sometimes up to 8 months prior.
What can I tell parents to do to get the commercial insurance removed, so that
we can utilize their Medicaid coverage? Who do they need to contact? Who can
they call? If you can please help us with this, it would be very much
appreciated.
If a recipient has other insurance coverage through a third party source, such
as Medicare, TRICARE, insurance plans, AARP plans, or automobile coverage, we
refer to that as Third Party Liability (TPL). As you know, these other sources
must be billed prior to billing Medicaid. Florida Medicaid currently contracts
with Affiliated Computer Systems (ACS) to manage TPL operations. Providers who
have questions or problems concerning third party insurance can contact the
Medicaid third party contractor:
* By telephone at 877-357-3268 (FL-RECOV),
* By fax at 866- 443- 5559,
* Through the website at http://www.FLMedicaidTPLRecovery.com,
* By e-mail at FLMedicaidTPLRecovery@acs-inc.com,
* Or in writing to:
ACS; Florida TPL Recovery Unit; 230; Killearn Center Blvd., Bldg A1;
Tallahassee, Florida 32309
The TPL contractor can make the necessary corrections to the information on the
recipients’ files.
