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Coordination of Benefits

What is Coordination of Benefits?

A process used to determine the primary responsibility when two or more health insurance plans share responsibility for covering the same medical claim.

  1. Coordination of benefits helps avoid confusion when multiple insurance plans are involved in covering a single medical expense.
  2. It establishes the order in which insurers should process and contribute to the payment of the claim.
  3. The goal is to prevent overpayment, ensure fair distribution of costs, and facilitate efficient claims processing.

“Glossary.” HealthCare.gov, www.healthcare.gov/glossary/.

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