Coordination of Benefits

Your health plan’s success is based on the speed and accuracy of claims payments. However, when your claims team and systems don’t have updated or accurate member eligibility information, you can end up paying too much for some claims and paying some claims that you weren’t responsible for—all leading to a significant blow to your bottom line. Industry research shows up to 10% of all health plan members have other health insurance coverage in any given year, which can cost your health plan millions in higher payouts and administrative work.

MultiPlan’s Coordination of Benefits (COB) solution is designed to work in partnership with your in-house teams. Our COB experts identify instances of other coverage in order to maximize recoveries and drive future cost avoidance for you. We complement your team and existing Coordination of Benefits (COB) processes using unique data mining and analytics to identify recovery opportunities that may have gone undetected. We validate coverage status, recover claims paid in error, and deliver updated eligibility data—all with a proven, holistic approach that maximizes recoveries for your health plan and minimizes provider, member, and plan sponsor abrasion.