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 branch or service of the supreme authority of a state or nation, taken as representing the whole: a dam built by the government. the particular group of persons forming the cabinet at any given time: The prime minister has formed a new government. the parliament along with the cabinet: The government has fallen.