Coordination of Benefits

What is Coordination of Benefits?

Health insurance can be confusing and gets more complicated if you have more than one form of insurance coverage. Some insurance companies request this information from patients every year and some insurance companies only request this information if they discover you may have had an accident or injury or may be covered under another health insurance plan.

Coordination of benefits is a process insurance companies use to determine how to cover your medical expenses when:

  • You're insured by more than one health insurance plan

  • Have a work-related injury

  • Vehicle or property accident or injury

Your insurance company will use the information you provide to them to decide which plan is responsible for covering your medical expenses. Your health insurance company will usually send you a notice or letter requesting information from you if they need to determine if another payer may be responsible for covering your medical expenses. It is important for you to contact your insurance company to update your information or share with them any accident or injury details because you may be responsible for your medical expenses if they do not receive the information.

Our Patient Financial Services team is here to help you understand the billing process and answer your questions. You can ask your questions through MyChart or by calling our Patient Financial Services team at 1-800-985-4675, Monday-Thursday, 8:00 am to 5:00 pm, and Friday 9:00 am to 4:30 pm.

FAQ

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