Does CMSP pay medical bills when there is another possible payor source or Third Party?
CMSP is the payor of last resort in all situations except for when a client has been the victim of a crime. All clients who apply to CMSP will be screened for third party liability, including motor vehicle insurance, homeowners insurance, worker comp, and other liability coverage. Clients must cooperate in this process, or their CMSP coverage will be denied. Every attempt will be made to collect from other coverage prior to paying claims from CMSP. If litigation is pending on a CMSP case, CMSP payment for services related to the litigation will be delayed until the litigation is settled. If you win the litigation, the associated medical bills are paid from the settlement. If you lose the litigation and if the medical providers obtained CMSP prior authorization, then CMSP may pay the medical bills assuming all billing criteria are met.
