Billing & ClaimsCâu 47 / 100
Coordination of benefits (COB) is the process used to:
a.Determine the patient's diagnosis
b.Set the provider's charge for a service
c.Determine the order in which multiple insurance plans pay when a patient has more than one coverage
d.Assign CPT modifiers
Giải thích
Coordination of benefits establishes which plan is primary and which is secondary when a patient is covered by more than one policy, preventing duplicate payment beyond the total charge. The primary plan pays first, and the secondary may cover remaining allowed amounts. Correct COB prevents overpayment and reduces denials.
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Câu hỏi liên quan cùng chủ đề
- Medicaid is a program that is:
- Workers' compensation insurance covers:
- TRICARE is the health program that covers:
- Under the 'birthday rule' for coordinating benefits on a dependent child covered by both parents' plans, the primary plan is generally the one belonging to the parent whose:
- Timely filing limits refer to:
- On the CMS-1500 form, the National Provider Identifier (NPI) is used to:
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