What Is Coordination of Benefits?

Coordination of Benefits across 2 exams

Coordination of Benefits appears on the following exams. Each defines it in the context candidates are tested on:

Health Insurance

The process of determining the order and amount each insurer pays when an insured has coverage under multiple health insurance policies, ensuring benefits don't exceed 100% of expenses and preventing duplicate payments.

Health-Only Insurance

A provision that prevents an insured from recovering more than 100 percent of actual medical expenses when multiple policies cover the same claim. The insurers work together to ensure appropriate apportionment of benefits.