MedicaidAdministrativeMedium impact
[Ohio] ODM clarifies Third-Party Liability (TPL) and Coordination of benefits (COB)
Anthem BCBS·OH·Provider Bulletin
We identified it
Jun 5, 2026
Summary
Ohio Department of Medicaid has issued clarifications regarding Third-Party Liability (TPL) and Coordination of Benefits (COB) requirements. This guidance affects how providers should handle billing when patients have multiple insurance sources or other liable parties.
Action Required
Immediately: Review the full ODM bulletin at the provided URL to understand specific TPL and COB requirements. Billing team should update procedures for identifying third-party liable parties and coordinating benefits with other insurance sources. Ensure proper claim sequencing and documentation when multiple payers are involved.