MultiPlan’s Coordination of Benefits Service
Industry research shows that as many as 15% of health plan members have other insurance coverage, creating a significant financial impact on a health plan’s time, resources and bottom line. In instances of overlapping coverage, health plans shoulder the burden of accurate claim payments. The arduous process of identifying other insurance, validating coverage status, and recovering incorrectly paid claims all generate substantial administrative costs and greatly affect provider and member relationships.
By using MultiPlan’s Coordination of Benefits (COB) service, you can eliminate the burden. While you have your choice of vendors, MultiPlan stands apart for several reasons.
Learn More
If you’re interested in learning more about MultiPlan’s Coordination of Benefits service, please complete the form below.
MultiPlan’s Coordination of Benefits Service
Industry research shows that as many as 15% of health plan members have other insurance coverage, creating a significant financial impact on a health plan’s time, resources and bottom line. In instances of overlapping coverage, health plans shoulder the burden of accurate claim payments. The arduous process of identifying other insurance, validating coverage status, and recovering incorrectly paid claims all generate substantial administrative costs and greatly affect provider and member relationships.
By using MultiPlan’s Coordination of Benefits (COB) service, you can eliminate the burden. While you have your choice of vendors, MultiPlan stands apart for several reasons.
Learn More
If you’re interested in learning more about MultiPlan’s Coordination of Benefits service, please complete the form below.
Accuracy
While most vendors rely on technology, MultiPlan combines technology with human expertise. Our advanced machine learning and adaptive algorithms elevate COB beyond simple data matching and improve identifications. We improve on that further by adding a human review to ensure the matches we identify are actionable. The result is an accuracy rate above 94%.
Experienced Staff
Our staff has a comprehensive understanding of National Association of Insurance Commissioners guidelines, CMS regulations, contracts, and multiple claim systems. In addition, we understand COB rules across all different products and lines of business, including commercial group, Medicare Advantage, and Medicaid health plans across the United States.
Flexibility
We don’t believe in a one-size-fits-all approach. We understand our clients have different needs and work to customize an approach that meets each client’s exact needs — whether that’s managing the entire process, being a sweeper at the end of the process or working with a specific line of business.
Newborn reviews
MultiPlan’s COB team includes staff dedicated to identifying the primary coverage for newborns. They undertake different kinds of time-consuming and complex investigations not needed for typical COB work, and their efforts are paying off. Newborn recoveries account for over 20% of all our COB recoveries. Some of our 2023 recoveries were as high as $1.6 million per individual case. Of note, all of our clients have their own internal COB teams so MultiPlan is finding what they miss.