Order of Benefit Determination Rules. When a Member is covered by two or more plans, the rules for determining the order of benefit payments are as follows:
Order of Benefit Determination Rules a) The other Plan has rules coordinating benefits with those of this CareFirst BlueChoice Plan; and
Order of Benefit Determination Rules. The first of the rules listed below in paragraphs 1-6 that applies will determine which plan will be primary:
Order of Benefit Determination Rules. The primary plan pays or provides its benefits as if the secondary plan or plans did not exist. A plan may consider the benefits paid or provided by another plan in determining its benefits only when it is secondary to that other plan. This plan determines its order of benefits by using the first of the following that applies:
Order of Benefit Determination Rules. The order of benefit determination rules determine whether This Plan is a Primary Plan or Secondary Plan when the person has health care coverage under more than one Plan. When This Plan is primary, it determines payment for its benefits first before those of any other Plan without considering any other Plan's benefits. When This Plan is secondary, it determines its benefits after those of another Plan and may reduce the benefits it pays so that all Plan benefits do not exceed 100% of the total Allowable Expense.
Order of Benefit Determination Rules. The following rules determine the order in which benefits are paid by primary and secondary health benefit plans.
Order of Benefit Determination Rules. 1. When there is a basis for a Claim under This Plan and another plan, This Plan is a Secondary Plan which has its Benefits determined after those of the other plan, unless:
Order of Benefit Determination Rules. 1. If another Plan does not have a COB provision, that Plan is the Primary Plan.
Order of Benefit Determination Rules. When a person is covered by two or more Plans, the rules for determining the order ofbenefit payments are as follows:
