December 2, 2021: Reminder Updating TPL Information

December 2, 2021: Updating TPL: As a reminder, when Third-Party Liability (TPL) information is reported incorrectly in CHAMPS by the insurance companies listed below, please contact them directly to update their records. If the insurance company makes corrections, they will send the update to TPL.

  • Administration Systems Research (ASR)
  • Aetna
  • BCN
  • CVS Caremark
  • Delta Dental
  • EHIM
  • Express Scripts
  • HAP
  • Insight Benefit Administrators
  • Magellan RX
  • Med impact
  • McLaren
  • Physician's Health Plan (PHP)
  • Prime Therapeutics
  • Priority Health
  • UnitedHealthcare (including UMR & Golden Rule)

To report TPL (Add, Change, or Termination) for other insurance companies that are not listed above, please submit a request to TPL by completing the online DCH-0078 form prior to submitting a claim to Medicaid.