coordination of benefits


Also found in: Acronyms.

coordination of benefits

a process whereby two or more insurance companies or insuring entities apportion each one's share of the responsibility for payment of a claim for health care services provided to a client who is insured by them.

Co·or·di·na·tion of Ben·e·fits

(COB) (kō-ōr'di-nā'shŭn ben'ĕ-fits)
A clause in insurance policies for patients with more than one carrier to provide a maximum of 100% benefits. One carrier is designated as primary carrier; a second carrier covers any remaining costs not covered by the primary carrier.

co·or·di·na·tion of ben·e·fits

(COB) (kō-ōrdi-nāshŭn benĕ-fits)
Allocation of primary and secondary responsibility when a patient has overlapping coverage by two or more health insurance programs.

coordination of benefits

Insurance policy provisions that govern how benefits for multiply insured parties are to be paid. The total benefits paid from different payers are linked so that the amount paid on behalf of the insured does not exceed the fee for the service provided.

co·or·di·na·tion of ben·e·fits

(kō-ōrdi-nāshŭn benĕ-fits)
Process whereby two or more insurance companies or insuring entities apportion each's share of responsibility for payment of health care claims.
References in periodicals archive ?
The solution streamlines coordination of benefits (COB) activities so that healthcare claims can be processed correctly the first time.
In a case of no coordination of benefits clause the dentist can maximize payments and minimize the patient's expenses by- billing both the medical and dental carrier
SAFECO does not require medical underwriting or proof of good health for employees who sign up during open enrollment, does not demand coordination of benefits, and does not include limitations for preexisting conditions.
The growth in flexible benefits and the continued use of coordination of benefits for providing health insurance to employees covered by two health plans is evidence of employers' innovations.
This contract is for the safety coordination of benefits and health protection concerning phase design and implementation of Urban Boulevard South project in Marseille (8th, 9th and 10th districts).
com/ 310ht-227 310ht-228 Product Name Filopto Amicore Practice Integrated Management Management System ASP Yes Accounts payable management Accounts receivable management Yes Yes Coordination of benefits Yes Yes Electronic data Yes Yes Interchange (EDI) Electronic medical record Yes Yes Electronic signature of reports Yes Yes Encoding support Yes Yes Encounter tracking Yes Yes General ledger HIPAA compliance support Yes Yes Interfaces with other systems Yes Yes Master patient index Yes Yes Medication management Yes Online eligibility Yes Order entry Yes Yes Patient scheduling Yes Yes Payroll Purchase orders Yes Referral management Yes Yes Rules-based scheduling Yes Yes Treatment authorization Yes Yes Utilization and quality Yes management Web-based Yes Additional features Medication mgmt.
Effective coordination of benefits can save health plans as much as $5-6 per member per month.
Facilities Management, Maintenance, Maintenance Cleaning and Maintenance Outdoor facilities: Maintenance and inspection of various technical systems at approximately 200 productive days per year, coordination of benefits about 1 man-year, routine cleaning of about 14.
COB Smart(TM) delivers timely and reliable coordination of benefits (COB) information
The Illinois Department of Healthcare and Family Services (Department) is seeking a vendor to support the Department in coordination of benefits for Medical Assistance Program (MAP) enrollees by assisting with the identification of other insurance.
through such business units as HMS and HDI, provides coordination of benefits and program integrity services for payers.

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