Showing posts with label Subrogation and Coordination of Benefits (COB) rules. Show all posts
Showing posts with label Subrogation and Coordination of Benefits (COB) rules. Show all posts

Monday, 6 October 2014

Subrogation and Coordination of Benefits (COB) rules

Our benefit plans are subject to subrogation and coordination of benefits (COB) rules.

1. Subrogation — To the extent permitted under applicable law and the applicable benefit plan, we reserve the right to recover benefits paid for a member’s health care services when a third party causes the member’s injury or illness.

2. Coordination of Benefits (COB) — COB is administered according to the member’s benefit plan and in
 Claimsgaccordance with applicable law. UnitedHealthcare can accept secondary claims electronically. To learn more, go to  UnitedHealthcareOnline.com  &  Electronic Claims Submission (EDI ), contact your EDI vendor, or call EDI support at (800) 842-1109.gPayments 

Primary Plan  --- Plan that pays benefits first  --- Benefits under the primary plan will not be reduced due to benefits payable under other plans
 
Secondary Plan  --- Plan will pay benefits after the primary plan  --- Benefits under the secondary plan may be reduced due to benefits payable under other primary plans  

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