If you have Medicare and other health insurance or coverage, each type of coverage is called a payer.. When there's more than one payer,  coordination of benefits  rules decide which one pays first. The primary payer pays what it owes on your bills first, and then sends the rest to the secondary payer to pay.
Shadow government may refer to: 1  A government run by an unelected bureaucracy, also known as a deep state or state within a state. 2  A conspiracy theory of a secret government, see Shadow government (conspiracy).
â¢Deep state/2017 Popularisation â¢Deep state/Supranational nature The deep state, state within a state, shadow government, permanent state or permanent government is a fluid network of individuals with de facto control of a national government. Many democratically elected governments work as fronts, allowing the deep state to operate in secret while providing a level of plausible deniability.