Understanding coordination of benefits from the patient side



Your insurance company will send you an email or letter from time to time requesting updated information from you regarding your insurance coverage. You may have seen this before. Usually there are a few questions on the letter that ask if you have other insurance.

The form can be mailed in or done online from your insurance portal, in most cases. These forms take only a couple minutes, but if not done, you may end of with an explanation of benefits stating that the session denied and you owe money to your provider for "your session possibly being covered by another payer per coordination of benefits."

If you see this happen, no worries! Simply call your insurance (use the member phone number on your insurance card) and let them know you are calling about coordination of benefits. Once you update with your insurance, they will reprocess those sessions and you will see a new explanation of benefits.

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