Coordination of Benefits

Coordination of benefits is a process used to determine how multiple insurance plans, such as employer-sponsored coverage and Medicare, work together to cover healthcare expenses for an individual with dual coverage. The primary goal is to avoid overpayment and ensure that each insurance plan pays its fair share of the costs. Coordination of benefits helps streamline claims processing and prevents duplication of payments, ultimately maximizing coverage and minimizing out-of-pocket expenses for the insured individual.