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Medicare Secondary Payer (MSP)

A set of laws that state Medicare should pay a beneficiary's medical bills only after certain other health insurance or coverage, like employer plans, workers' compensation, or liability insurance, has paid first.

Group Health Plan

A health insurance plan provided by an employer or employee organization to its employees, former employees, or their families.

Private Cause of Action

A legal right that allows an individual or entity to sue another party in court for damages, as opposed to only government agencies having the right to enforce a law.

Primary Payment

The responsibility of an insurance plan or payer to pay for medical services before Medicare pays. Medicare only pays once the primary payer has paid all it owes or has legally denied the claim.

Liability Insurance

Insurance that covers damages for bodily injury and property damage for which the insured is legally responsible, such as in an accident.

Workers' Compensation

A form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for negligence.