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6.3.9 DOUBLE PAYMENT

Sometimes EDS finds that services have been paid for by both MA and a third party that is not listed in the MA file.  When this happens, the worker may receive a Coverage Discrepancy Report from EDS.

 

If you receive this notice, review your files and contact the client to find out the TPL status of the MA group members.  If you find there is private health insurance available to any of the members, update CARES Client Assistance for Re-employment & Economic Support.

 

This page last updated in Release Number: 02-04

Release Date: 10/01/02

Effective Date: 10/01/02