Common use of Coordination of Benefits Administration Clause in Contracts

Coordination of Benefits Administration. Willamette Dental Group will administer coordination of benefits in accordance with this section. If the Member has dental coverage under more than one plan and receives Covered Dental Services from a Contracting Provider, the Contracting Provider will submit a bill to the Member’s other Plan on the Member’s behalf. In the event the Member elects to receive Covered Dental Services from a Non- Contracting Provider without a Referral from a Contracting Provider, the Member is responsible for submitting a bill to the Contracting Provider to request for reimbursement under the Noncontracting Provider Reimbursement or the Out of Area Emergency Care Reimbursement.