What is your current Coordination of Benefits process?
With our team having extensive industry experience, ClaimReturn has added Coordination of Benefits review to our extensive product offering.
Coordination of Benefits (COB) helps determine who pays first when two or more health insurance plans are responsible for paying the same medical claim. COB can be conducted through the utilization of the same data feed ClaimReturn receives for its traditional retrospective review.
Having a partner providing COB reviews can lead to savings for the Health Plan, the Employer Group, and Members.
ClaimReturn’s process for Coordination of Benefits is innovative and unparalleled in the industry.
Paid Claim Data is sent to ClaimReturn in the same process as it is now
ClaimReturn COB Team targets Member population most likely to have other insurance
Verification is made for other insurance, this is documented, and population is identified
Outreach is made to Employer Groups to verify employment status
Primacy Determinations are made and overpaid claims are flagged for recovery
ClaimReturn works with Providers to recover overpaid claims
What Can ClaimReturn Do for You?
Provide Coordination of Benefits updates for your internal system, Medicare’s Common Working File, and any Payer systems as needed – cutting back on significant administrative time currently spent.
