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Federal regulations require Medicaid to be the “payer of last resort.” This means that all third party insurance carriers, including Medicare and private health insurance carriers, must pay before Medicaid processes the claim. Additionally, providers must report any such payments from third parties on claims filed for Medicaid payment. More information about Third Party Insurance in the Basic Medicaid Billing Guide
This Third Party Insurance Code list (updated 8/21/09) can be used to determine the name and billing address of a third-party insurance company.
Contact: Mack Nance
919-647-8100
Fax: 919-715-4725
Email at Mack.Nance@dhhs.nc.gov
