Coordination of Benefits (COB)
Coordination of benefits (COB) is the process for determining the order in which two or more health plans pay when a person is covered by more than one. It establishes which plan is primary, which is secondary, and how much each pays so that combined payment does not exceed the allowable charge.
Definition
Coordination of benefits (COB) is the process for determining the order in which two or more health plans pay when a person is covered by more than one. It establishes which plan is primary, which is secondary, and how much each pays so that combined payment does not exceed the allowable charge.
Why it matters
Correct COB drives accurate billing order and prevents denials or recoupments when Medicare is secondary to another payer.
What Should I Document? 100 OASIS Situations Home Health Nurses Face Every Day
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