The term "second party payer" typically refers to an entity that pays for services or goods in a transaction where the first party is the service provider or seller, and the third party is the consumer or buyer. In the context of healthcare, for example, the second party payer could be an insurance company that pays for medical services on behalf of a patient (the third party) to the healthcare provider (the first party). The second party can also refer to any intermediary involved in the payment process.
The third-party payer is composed of the financial institution that pays the insurance claims. The first party is the patient, second party is the provider.
If a third-party payer requires a second opinion for a surgical procedure, the modifier typically reported is -31, specifically the modifier for "second opinion." This modifier indicates that a second opinion was obtained to confirm the necessity of the surgical procedure. It's essential to check the specific payer guidelines, as requirements may vary. Additionally, proper documentation of the second opinion is crucial for reimbursement.
If this question pertains to the medical field. The first party is the patient. The second party is the care provider. The third party would be the company that pays the care provider.
the government
From my book
yes
Medicare
Medicare
Government
Medicare
yes
Kanpur