Practice Quiz

Health and Life Insurance

Category - Health and Dental

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__________ is the process by which a health insurance company determines whether it will be the primary or secondary payer of benefits for an individual who is insured by more than one plan.
  1. Capitation
  2. Coordination of benefits
  3. Approved amount
  4. First payer rule
Explanation
Answer: B - Coordination of benefits is the process by which a health insurance company determines whether it will be the primary or secondary payer of benefits for an individual who is insured by more than one plan. This helps to ensure that claims are not paid multiple times. It may also help to reduce attempted insurance fraud.
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