Coordination of Benefits Time!

Is it really January already?

With January comes lots of denials for Coordination of Benefits (COB), but you can get ahead of it if you take action now.

As soon as something comes back denied for COB, take immediate action – too often you can see patients multiple times before it is resolved and then it becomes a tremendous delay in payment. Here is what we do in our office:

  1. We call the patient and let them know what they need to do. Keeping in mind that most people have never heard the term “coordination of benefits”, we explain that the insurance company needs additional information from them to be able to process the claim.

  2. We keep detailed notes in the patient account so when they come in for their next appointment they can take care of it from the waiting room.

  3. If 7-10 days go by and we haven’t received a response from the patient or payment from the insurance company, we go ahead and change it to patient responsibility and send a statement with a note to call us back after they have talked with their insurance company.

How do you handle COB denials in your office? Let me know:

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