The following are descriptions / instructions of the NON-PS2 fields (TPL Tab):
Notebook: INTER
Tab: TPL
Tab: TPL
Field: Is anyone covered by insurance?
Instructions: Mark this box to indicate that someone in the household has Third Party insurance coverage. If someone has TPL, you will need to complete the bottom section of the tab as Medicaid will bill the primary insurance first, then pick up costs after the primary insurance pays their portion.
Notebook: INTER
Tab: TPL
Tab: TPL
Field: Has anyone been in an accident in the last 12 months?
Instructions: Mark this box to show that someone in the household has been in an accident in the last 12 months. If this box is checked you need to complete an ADM-50.
Notebook: INTER
Tab: TPL
Tab: TPL
Field: If yes, has any legal action been taken or planned?
Instructions: Mark this box to indicate that the client has already or plans to file a legal action against a third party due to the accident.
Notebook: INTER
Tab: TPL
Tab: TPL
Field: Insurance name code
Instructions: Displays the insurance name code for the particular sequence for the indicated person to be selected as included or not included in the policy. This is a display only field.
Notebook: INTER
Tab: TPL
Tab: TPL
Field: Policy number
Instructions: Displays the policy number for the particular sequence for the indicated person to be selected as included or not included in the policy. This is a display only field.
Notebook: INTER
Tab: TPL
Tab: TPL
Field: Included in policy
Instructions: Select “Yes” or “No” to indicate whether the selected person is or is not included in the policy shown. If there are no policies listed there is no need to touch these buttons. If there are policies listed these buttons will need to be checked for each person for each policy.
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