Chapter 1: Coordination of Benefits Flashcards
Correctly determining the primary and secondary status of health insurance is called?
Coordination of benefits.
If many patients are covered by more than one health insurance plan, what is important for a medical assistant to determine?
Which plan is primary and which is secondary.
The primary health insurance is the insurance plan responsible for?
Paying health insurance claims first.
The secondary health insurance is the insurance plans only billed after?
The primary insurance has paid its contracted amount to the provider.
The coordination of benefits provision prevents multiple insurance companies from what?
Paying more than 100% of the bill.
What does the Birthday Rule determines?
Which health insurance is the primary payer.
Whose insurance is the primary payer?
Whoever’s birthday comes first.
