Coordination of Benefits (COB definition

Coordination of Benefits (COB means a provision that is intended to avoid claims payment delays and duplication of benefits when a person is covered by 2 or more Plans. It avoids claims payment delays by establishing an order in which Plans pay their claims and providing the authority for the orderly transfer of information needed to pay claims promptly. It may avoid duplication of benefits by permitting a reduction of the benefits of a Plan when, by the rules established by this provision, it does not have to pay its benefits first.
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Coordination of Benefits (COB means a procedure establishing the order in which health care entities pay their claims as described in rule 5160-26-09.1 of the Administrative Code.
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Coordination of Benefits (COB means the process of determining which health plan or insurance policy will pay first or determining the payment obligations of each health plan, medical insurance policy, or third-party resource when two or more health plans, insurance policies, or third-party resources cover the same benefits for a Medicaid-covered member.
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Examples of Coordination of Benefits (COB in a sentence

  • This Coordination of Benefits (COB) provision applies when you or your covered dependents have healthcare coverage under more than one plan.

  • This Coordination of Benefits (COB) provision applies when a Participant has health care coverage under more than one (1) Contract.

  • Coordination of Benefits (COB) occurs when a member has dental coverage under more than one plan.

  • When Does Coordination of Benefits Apply?This Coordination of Benefits (COB) provision applies when a person has health care coverage under more than one Plan.

  • This Coordination of Benefits (COB) provision applies when an Insured has health care coverage under more than one (1) Contract.

  • Coordination of Benefits (COB) is complicated, and covers a wide variety of circumstances.

  • Coordination of Benefits (COB) is intended to help contain the cost of providing healthcare coverage.

  • The Coordination of Benefits (COB) provision applies when a person has health care coverage under more than one Plan.

  • The Coordination of Benefits ("COB") provision applies when a person has dental coverage under more than one Plan.

  • Contractor’s Qualified Dental Plans shall include a Coordination of Benefits (COB) provision in its Evidence of Coverage or Policy Form that (1) is consistent with Health and Safety Code § 1374.19 and Insurance Code § 10120.2 and (2) provides that the Qualified Dental Plan is the secondary dental benefit plan or policy under that COB provision to any Qualified Health Plan that provides the Pediatric Dental Essential Health Benefit.


More Definitions of Coordination of Benefits (COB

Coordination of Benefits (COB means the activities involved in determining Medicaid benefits when a member has coverage through an individual, entity, insurance, or program that is liable to pay for health care services.
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Coordination of Benefits (COB means a provision that is intended to avoid claims payment delays and duplication of benefits when a person is covered by 2 or more Plans. It avoids claims payment delays by establishing an order in which Plans pay their claims and providing the authority for the orderly transfer of information needed to pay claims promptly. It may avoid duplication of benefits by permitting a reduction of the benefits of a Plan when, by the rules established by this provision, it does not have to pay its benefits first. "Plan(s)" means coverage with which COB is allowed. Plan includes:
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Coordination of Benefits (COB means a procedure establishing the order in which health care entities pay their claims. For the purpose of this chapter, the MCP is the payer of last resort.
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Coordination of Benefits (COB means coordination of benefits used when two or more insurance carriers share in the liability of payment for an individual's medical claims, not to exceed 100% of the initial value of the services provided.
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Coordination of Benefits (COB means when the subscriber, their spouse, and/or their covered dependents are eligible benefits under more than one group health benefits programs.
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Related to Coordination of Benefits (COB

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Assignment of Benefits means an arrangement whereby the Plan Participant assigns their right to seek and receive payment of eligible Plan benefits, in strict accordance with the terms of this Plan Document, to a Provider. If a provider accepts said arrangement, Providers’ rights to receive Plan benefits are equal to those of a Plan Participant, and are limited by the terms of this Plan Document. A Provider that accepts this arrangement indicates acceptance of an “Assignment of Benefits” as consideration in full for services, supplies, and/or treatment rendered.

  • Pharmacy benefits management means the administration or management of prescription drug

  • Pharmacy benefits manager means a person that performs pharmacy benefits management.

  • Pharmacy benefit manager means a person, business or other

  • Societal benefits charge means a charge imposed by an electric

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Health benefits plan means a benefits plan which pays or

  • Medical Benefits Schedule means the Medicare Schedule of Benefits produced by the Department of Health to which all fees and benefits relate for inpatient hospital services.

  • Retirement program means a program of rights and obligations which a county, city, village, or township establishes, maintains, or participates in and which, by its express terms or as a result of surrounding circumstances, does 1 or more of the following:

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • SERP has the meaning assigned thereto in Section 5(c) hereof.

  • Retirement system means a retirement plan or system that is established by or pursuant to title 38.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Executive Severance Plan means the Company’s Senior Executive Employee Severance Pay Plan, as in effect from time to time.

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Benefits Specialist means a specialized position that would primarily be responsible for coordinating Client applications and appeals for State and Federal benefits.

  • Additional gap medical benefits means the benefits (if any) payable in respect of medical expenses that are more than the schedule fee and which otherwise meet the requirements of the fund’s no or known gap policy, provided always that the medical expenses relate to a professional service that:

  • Compensation and Benefits Programs means all compensation and benefit plans, policies, and programs of the Debtors, and all amendments and modifications thereto, applicable to the Debtors’ employees, former employees, retirees, and non-employee directors and the employees, former employees and retirees of their subsidiaries, including all savings plans, retirement plans, health care plans, disability plans, and incentive plans, deferred compensation plans, and life, accidental death, and dismemberment insurance plans.

  • Net Benefits Test means a calculation to determine whether the benefits of a reduction in price resulting from the dispatch of Economic Load Response exceeds the cost to other loads resulting from the billing unit effects of the load reduction, as specified in Operating Agreement, Schedule 1, section 3.3A.4 and the parallel provisions of Tariff, Attachment K-Appendix, section 3.3A.4.

  • Individual account program means the defined contribution individual account program of

  • Health Benefits means health maintenance organization, insured or self-funded medical, dental, vision, prescription drug and behavioral health benefits.

  • Severance Plan means any severance plan maintained by the Company that is applicable to the Participant.

  • income-related employment and support allowance means an income-related allowance under Part 1 of the Welfare Reform Act 2007;

  • Transition Plan means a transition plan, acceptable to the LHIN that indicates how the needs of the HSP’s clients will be met following the termination of this Agreement and how the transition of the clients to new service providers will be effected in a timely manner; and

  • Retirement Savings Plan means the Air Products and Chemicals, Inc. Retirement Savings Plan, as amended from time to time, together with any similar, succeeding or substitute plan.