header bg

Scan QR code or get instant email to install app

Question:

Of the following process, which one does a health insurance company use to determine if it should be the primary or secondary payer of medical claims for a patient who has coverage from more than one health insurance policy?

A Coordination of Benefits.
explanation


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.

Related Information

Comments

Leave a Reply

Your email address will not be published. Required fields are marked *

*