coordination of benefits


coordination of benefits

a process whereby two or more insurance companies or insuring entities apportion each one's share of the responsibility for payment of a claim for health care services provided to a client who is insured by them.

Co·or·di·na·tion of Ben·e·fits

(COB) (kō-ōr'di-nā'shŭn ben'ĕ-fits) A clause in insurance policies for patients with more than one carrier to provide a maximum of 100% benefits. One carrier is designated as primary carrier; a second carrier covers any remaining costs not covered by the primary carrier.

co·or·di·na·tion of ben·e·fits

(COB) (kō-ōrdi-nāshŭn benĕ-fits) Allocation of primary and secondary responsibility when a patient has overlapping coverage by two or more health insurance programs.

coordination of benefits

Insurance policy provisions that govern how benefits for multiply insured parties are to be paid. The total benefits paid from different payers are linked so that the amount paid on behalf of the insured does not exceed the fee for the service provided.

co·or·di·na·tion of ben·e·fits

(kō-ōrdi-nāshŭn benĕ-fits) Process whereby two or more insurance companies or insuring entities apportion each's share of responsibility for payment of health care claims.