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Question:
When a resident is covered by more than one insurance plan, coordination of benefits is very significant. Medicare is often one of the plans involved with COB.
Coordination of Benefits is a process by which multiple insurance policies are coordinated to ensure that the combined payments made by all policies do not exceed the total cost of the medical services provided. The COB process involves determining the order in which the insurance policies should pay, based on specific rules and guidelines. This helps prevent overpayment or duplication of benefits and ensures that each insurance policy pays its appropriate share of the claim.
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