Do Care Select members have third party liability (TPL)?
Yes, Care Select members can have TPL. This information is available from one of the eligibility verification systems (Web InterChange, Automated Voice Response (AVR), or Omni) based on the eligibility information the member provided. Providers should refer to the IHCP Provider Manual for all policies related to TPL including guidelines used for claim submission and updating members TPL information. Q: What benefits will be covered in the Care Select Program A: Covered benefits will not change. Some services will be self-referral and will not require the physician to refer the patient for that service. However, these services may require PA from the CMO, just as they do currently.
