COB Denial

What is the denial code of COB?

•   CO-22

• C0-23

• CO-24

• All of the above

What is the birthday rule in COB?

• The insurance of the parent with the earlier birthday is considered primary for dependent children

• The insurance of the parent with the later birthday is considered primary for dependent children

• The insurance of the child's birthday month is considered primary.

• a)      The insurance of the child's first birthday is considered primary.

Why is COB important in medical billing?

• To maximize insurance payments

   

• To prevent overpayment

• To ensure accurate reimbursement

• All of the above

Who is responsible for notifying insurance companies about COB information?

• The healthcare provider

• The patient.

• Both a) and b).

• The insurance companies.

For an example, if Jason's DOB: 12/25/1986​, and Nancy's DOB: 03/21/1992, which Parent's Insurance will be primary Insurance for Baby Jordan?

• Jason

• Nancy

• Both Jason & Nancy

• None of the above

As per review, found that the claim was billed to primary Insurnce- Humana, and Humana denied the claim as missing/need primary EOB, what does this indicate?

• Humana is Primary and the denial is correct.

• Rebill the claim to Humana

• As primary Humana is denying for primary EOB, this indicates there is COB conflict.

• None of the above

When will Medicare be secondary payer?

• When Medicaid is primary 

• When Commercial Insurance is primary

• When Workers Compensation is primary 

• All of the above

Can we directly bill the patient if the COB is not updated?

• Yes

• No, we need to follow process specific updates

• None of the above

It is the patient’s responsibility to provide correct coordination of benefits information, If there is no response from the Patient after sending 3 statements what will be the next action 

• Send another statement to patient to update the COB

• Bill the patient to update COB

• Send Corrected Claim

• None of the above

When does patient need to update COB with insurance?

• When a patient has only one insurance plan

• When a patient has multiple insurance plans

• Both A & B

• When a patient doesn't have insurance