Insurance application submitted by an individual other than the person being insured.

System of marketing individual insurance to groups in which the insurance company formally agrees with an organization to sell individual insurance to members of the organization.

Insurance coverage bought by the insured (first party) from an insurance company (second party) for coverage to protect against lawsuits by another (third party).

1. Third-party liability exists if an entity (not connected with the employer) is the cause and is liable to pay the medical cost for injury, disease, or disability of a person hurt during the performance of his or her occupation and the injury is caused by an entity not connected with the employer. 2. Entity that is responsible for the cost of an illness or injury (e.g., automobile, homeowner insurer). Also referred to as third-party payer liable .

Private insurance company or government fiscal intermediary (third party) that insures and/or pays provider (second party) for health care benefits of members or beneficiaries (first parties) (e.g., Blue Cross, Medicare, Medicaid, commercial insurance companies). Also known as indirect payer, insurance company, insurer , or payer .

Private insurance company or government fiscal intermediary (third party) legally responsible under a contract to pay providers who rendered health care benefits to its members or beneficiaries.

Reimbursement sent to the provider (second party) of health care services by an insurance carrier or government program (third party) on behalf of the patient (first party). Also called third-party reimbursement (TPR) .

The legal process by which an insurance company seeks from a third party, who has caused a loss, recovery of the amount paid to the policyholder.

Situation in which a third party from another organization is given permission to use data originally obtained from the Centers for Medicare and Medicaid Services (CMS) by the original requestor.