Common use of Verification of Eligibility Clause in Contracts

Verification of Eligibility. The parties acknowledge that the verification of an individual’s eligibility provided by TPA is only an indication of the enrollment status and benefits at the time of inquiry. Payment of services is contingent upon the confirmation of status at the time of claims processing and upon the terms and conditions of the participant’s certificate as determined by TPA. TPA shall have no liability for payment of benefits shown on the TPA Operating System. Benefits and terms of coverage are only as they exist in the current participant contract as determined by TPA.