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.
Appears in 9 contracts
Samples: Myhpn Solutions Agreement of Coverage, Group Enrollment Agreement, Myhpn Solutions Agreement of Coverage
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 Insured had filed a claim for them.
Appears in 7 contracts
Samples: Solutions Agreement of Coverage, sierrahealthandlife.com, sierrahealthandlife.com