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Third Party Liability - in

INDIANA HEALTH COVERAGE PROGRAMS PR O V I D E R RE F E R E N C E MO D U L E Third Party Liability L I B R A R Y R E F E R EN C E N U M B E R : P R O M O D 0 0 0 1 7 P U B L I S H E D : O C T O B E R 3 , 2 0 1 7 P O L I C I E S A N D P R O C E D U R E S A S O F M A Y 1 , 2 0 1 7 V E R S I O N : 2 . 0 Copyright 2017 DXC Technology Company. All rights reserved. Library Reference Number: PROMOD00017 iii Published: October 3, 2017 Policies and procedures as of May 1, 2017 Version: Revision History Version Date Reason for Revisions Completed By Policies and procedures as of October 1, 2015 Published: February 25, 2016 New document FSSA and HPE Policies and procedures as of July 1, 2016 Published: October 25, 2016 Scheduled update FSSA and HPE

Third Party Liability Revision History iv Library Reference Number: PROMOD00017 Published: April 26, 2018 Policies and procedures as of February 1, 2018

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