Third party payer.

Third party payer. A third party payer is any entity that provides an insurance, medical service, or health plan by contract or agreement. It includes but is not limited to:
(1) State and local governments that provide such plans other than Medicaid.
(2) Insurance underwriters or carriers.
(3) Private employers or employer groups offering self-insured or partially self-insured medical service or health plans.
(4) Automobile liability insurance underwriter or carrier.
(5) No fault insurance underwriter or carrier.
(6) Workers' compensation program or plan sponsor, underwriter, carrier, or self-insurer.
(7) Any other plan or program that is designed to provide compensation or coverage for expenses incurred by a beneficiary for healthcare services or products.

Source

32 CFR § 220.14


Scoping language

None
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