A way to figure out who pays first when 2 or more health insurance plans are responsible for paying the same medical claim.

A way to figure out who pays first when 2 or more health insurance plans are responsible for paying the same medical claim.

A contractual provision to prevent an insured from receiving benefits under more than one health insurance plan so that the insured's benefits from all sources do not exceed allowable medical expenses or eliminate appropriate patient incentives to contain cost.

A group plan provision that stipulates the primary carrier when you have more than one health plan. This ensures that payments made by the carriers do no exceed the cost of the services provided.

A method of integrating benefits payable for the same patient under more than one plan. Benefits from all sources should not exceed 100% of the total charges.

Rules and procedures that determine how health care claims are paid when you are covered by more than one health insurance plan. Together, the health plans cannot pay more than the charge for the services.

When a person is covered under more than one insurance or health plan. It requires that carriers coordinate with one another to correctly consider benefits for all services payable.

This is when we ask you if you or any of your dependents also have other health coverage. It’s important because, if you do, we need to work with the other company to figure out who pays for what. If [..]

When a person is covered by more than one benefit plan (for example, a child who is covered by both parents’ programs), the two sets of benefits are coordinated so that no more than 100 percent of the [..]

provision to eliminate over insurance and establish a prompt and orderly claims payment system when a person is covered by more than one group insurance and/or group service plan.

Coordination of benefits is a process for determining the respective responsibilities of two or more health plans when a person has health care coverage under two or more sources or plans that have so [..]

Coordination of benefits is the practice of ensuring that insurance claims are not paid multiple times, when an enrollee is covered by two health plans at the same time. The idea behind coordination o [..]

A group policy provision which helps determine the primary carrier in instances where the patient is covered by more than one insurance policy. Co-payment:

The sharing of costs by two or more health plans, according to their respective financial responsibilities, for your health care claims. This is the process when your primary and secondary insurance plans coordinate benefits in order to pay your medical bills.

These rules are used to decide which plan pays first for people who have more than one plan. This helps coordinate coverage and allows claim information to be shared by the plans. This way, the plans [..]

A provision in an insurance contract that integrates benefits payable under more than one dental plan so that the insured person’s benefits from all sources do not exceed 100 percent of allowable dent [..]

A provision in a dental insurance contract that relieves the insurer of liability for the cost of services covered under another plan. When subscribers have more than one dental plan, the plan that is [..]

Coordination of benefits is an agreement between your insurers to prevent double payment for your care when more than one plan provides coverage. The agreement determines which insurer has primary res [..]

The mechanism used in group health insurance to designate the order in which the multiple carriers are to pay benefits and to prevent duplicate payments.

This determines the amount payable by each insurer when the insured person is covered under two or more group health plans. Total reimbursement should not exceed 100 percent of the cost of care.

COB occurs when a patient is covered by more than one insurance plan. In this situation one insurance company will become the primary carrier and all other companies will be considered secondary and tertiary carriers that may cover costs left after the primary carrier has paid.

Provision to eliminate over insurance and establish a prompt and orderly claims payment system when a person is covered by more than one group insurance and/or group service plan.

Process for determining the respective responsibilities of two or more health plans that have some financial responsibility for a medical claim. Also called cross-over.

A mechanism allowing a member covered by more than one health plan to potentially recover up to 100 percent of the billed amount of a claim. Generally, the primary (first) plan pays the greater amount and the secondary plan pays the balance.

A provision to help avoid claims payment delays and duplication of benefits when a person is covered by two or more plans providing benefits or services for medical, dental or other care or treatment. One plan becomes the "primary" plan and the other becomes the "secondary" plan. This establishes an order in which the plans pay [..]

Coordination of Benefits is the determination of benefits payable under more than one group health insurance so the insured’s total benefits do not exceed 100 percent of the medical expenses.

An agreement on how to process charges when more than one health insurance company is involved.

A provision in an insurance contract that applies when a person is covered by more than one insurance program. Requires that all insurance programs coordinate with each other in paying benefits, to eliminate duplication or overpayment.

A process that insurance carriers use to determine the order of payment and amount each insurance carrier will pay when a person receives dental services that are covered by more than one insurance be [..]

When the insured is covered under more than one plan (for example under a group plan at work, and as a family member on a spouse’s plan) the benefits from the plans are coordinated so as to l [..]

A group policy provision which helps determine the primary carrier in situations where an insured is covered by more than one policy. This provision prevents an insured from receiving claims overpayments.

When a patient is covered by more than one insurance plan. One insurance carrier is designated as the primary carrier and the other as secondary.

When the covered person is covered by another plan or plans, the benefits under the policy and the other Plan(s) will be coordinated so benefits from all sources do not exceed 100 percent of allowable [..]

A way to decide which insurance company is responsible for payment if you have more than one insurance plan.

If both you and your spouse have health insurance, or if your dependent children are covered under other health insurance, your insurance company will probably coordinate the payment of benefits with the other insurance company. This is done so that payments from both companies are not more than the actual costs of your medical care. If your outlin [..]

The mechanism used in group Health Insurance to designate the order in which the multiple carriers are to pay benefits and to prevent duplicate payments.

Coordination of benefits is the mechanism developed to prevent duplication of payment when more than one payer covers a person. It limits the total benefits received to no more than the actual amount of cost incurred for care, or to something less than the actual amount incurred for care. It does this by informing all subsequent payers in the billi [..]

A provision that helps determine the primary provider in situations where an insured is covered by more than one policy, thus avoiding claims over payments.

COB applies to you if you have more than one group insurance plans. Both plans typically work together to lower your out-of-pocket cost. One plan is considered the primary insurance plan. Once you receive the benefits outlined in your primary insurance, the secondary plan is then used. COB also ensures that claims are not paid multiple times.