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Coordination of Benefit Questionnaire This is a Coordination of Benefits Questionnaire (COB) form. If you or a covered family member has dual insurance, Benefit & Risk Management Services Inc. (ARMS)
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What is coordination of benefit questionnaire?
Coordination of benefit questionnaire is a form that helps determine which health insurance plan pays first when a person is covered by more than one plan.
Who is required to file coordination of benefit questionnaire?
Anyone who has multiple health insurance policies or coverage is required to file a coordination of benefit questionnaire.
How to fill out coordination of benefit questionnaire?
To fill out a coordination of benefit questionnaire, you need to provide information about all the health insurance policies you have, including the policy number, effective dates, and coverage details.
What is the purpose of coordination of benefit questionnaire?
The purpose of coordination of benefit questionnaire is to avoid double payments or overpayment of claims by ensuring that each insurance plan is aware of the other coverage.
What information must be reported on coordination of benefit questionnaire?
Information such as policy number, effective dates, coverage details, and any other relevant insurance information must be reported on coordination of benefit questionnaire.
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