When a coordination of benefits situation exists,the health insurance professional should first:
A) disregard the primary payer.
B) disregard the secondary payer.
C) verify which payer is primary and which is secondary.
D) submit two claims simultaneously.

Question

Quizplus · Accepted Answer

The health insurance professional should verify which payer is primary and which is secondary in a coordination of benefits situation. This is important in order to properly process and coordinate the payment of the claim. Ignoring either the primary or secondary payer can result in delayed or incorrect payment of the claim. Submitting two claims simultaneously is not necessary, as the primary payer will generally pay first and then the secondary payer will cover any remaining costs based on their specific coordination of benefits rules.

When a Coordination of Benefits Situation Exists,the Health Insurance Professional