Coordination of Benefits: When a Patient Has Two Plans
How payers decide which plan pays first, the birthday rule, Medicare Secondary Payer rules, and how COB data travels on a claim.
Coordination of Benefits: When a Patient Has Two Plans
Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.
What this post will cover
- Primary, secondary and tertiary payers
- The birthday rule, active vs retired coverage and other order rules
- Medicare Secondary Payer (MSP) rules
- Secondary claims with the prior payer’s adjudication (837 loops 2320/2330)
- Subrogation and recovery
Further watching
From the HealthTech Decoded channel:
Where this fits
Level 2 · Core workflows › Revenue cycle, coding and claims
- Previous: Claim Denials and Appeals
- Next: Utilization Management Explained
This post is licensed under CC BY 4.0 by the author.