WebSection 14 Other Party Liability ___ 14.2 When a member is covered by more than one health care plan, one plan is determined to be primary and its benefits are applied to the claim first. Reimbursement of the remaining balance is considered through the secondary policy, … http://highmarkbcbs.com/

PROVIDER TRADING PARTNER AGREEMENT WHEREAS,

WebWelcome to Other Party Liability Inc. Serving the Needs of Insurers, Employers, and Third Party Administrators OPL seeks to have the party ultimately responsible pay the claim .It … WebNeither party shall be liable to the other party for damages caused by circumstance beyond its control, including, without limitation: “hackers” who gain access to the system or Data … dfacs at nas key west

PROVIDER TRADING PARTNER AGREEMENT WHEREAS,

WebMove to Highmark Group Medicare Advantage (MA) Move to previously approved Highmark Group MA ($0 premium medical); maintain current Employer Group Waiver Plan (EGWP) for Rx coverage Potential need to rebid coverage and/or obtain updated quote $$$ 25% Actives Future new hires Retirees. OPEB liability reduction key (as of 7/1/2024) WebWhen Highmark West Virginia is secondary to a third party payor other than Medicare, its liability will not exceed the lesser of member liability under the primary payor’s plan or … Webin the event the foregoing limitation of liability set forth herein shall be for any reason held unenforceable or inapplicable, you agree that highmark health and its affiliates' aggregate … church\\u0027s farm