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).
The deep state, state within a state, shadow government, or permanent government is a network of individuals and groups which are in actual charge of a national government. The democratically elected government works as a front, providing a level of plausible deniability and allowing the deep state to operate in secret.