How COB Works Sample Clauses

How COB Works. Plans use COB to decide which healthcare coverage programs should be the Primary Plan for the Covered Service. If the Primary Plan payment is less than the charge for the Covered Service, then the Secondary Plan will apply its Allowable Expense to the unpaid balance. Benefits payable under another Plan include the benefits that would have been payable if the Member had filed a claim for them.
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How COB Works. (f) If No COB Provision. If another Plan does not contain a provision coordinating its benefits with those of this Plan, the benefits of such other Plan will be considered primary.
Sample 1
How COB Works. Insured cooperation includes the completion of the necessary paperwork that would enable SHL to collect payment from the Primary Plan for services. Any benefits paid to the Insured in excess of actual expenses must be refunded to SHL.
Sample 1

Related to How COB Works

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