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This document outlines the process for Coordination of Benefits and Direct Prescription Claims Pay for members of the State of Delaware, detailing how to submit claims and the reimbursement process
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Coordination of Benefits (COB) is a process that determines how multiple health insurance policies work together to pay for medical expenses for a person who has coverage under more than one policy.
The policyholder or the person who has coverage under multiple health insurance policies is required to file Coordination of Benefits.
To fill out Coordination of Benefits, you need to provide information about all the health insurance policies you have, including policy numbers, coverage start dates, and any other relevant details. This information is usually provided on a specific Coordination of Benefits form or through an online portal.
The purpose of Coordination of Benefits is to ensure that the combined payments from multiple health insurance policies do not exceed the total amount of the medical expenses. It helps determine which policy is primary and should pay first, and which policy is secondary and should cover the remaining costs.
The information that must be reported on Coordination of Benefits includes the policy numbers, names of insurance companies, coverage start dates, and any other relevant details about the health insurance policies.
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