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).
A government or state agency, often an appointed commission, is a permanent or semi-permanent organization in the machinery of government that is responsible for the oversight and administration of specific functions, such as an intelligence agency. There is a notable variety of agency types.Although usage differs, a government agency is normally distinct both from a department or ministry, and other types of public body established by government.here is a notable variety of agency types. Although usage differs, a government agency is normally distinct both from a department or ministry, and other types of public body established by government.