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The Third Party Liability (TPL) process identifies:
TPL referral data is received from many different sources including Health Plans, eligibility sources (DES, SSA, etc) and our TPL contractor. The referrals are processed through a validation process and we receive updates to the referrals that either verify TPL data or invalidate referrals. In addition to the TPL verifications, Medicare data is also provided on the daily files.
The TPL File is available on the AHCCCS communications server.
TPL file transmissions must be tested in coordination with AHCCCS ISD operations staff prior to production implementation of a new Health Plan or change in service bureau, or as a result of roster changes. Typical testing of transmissions takes approximately one week and must be completed prior to implementation of any new processing arrangement.