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Video: A new approach to prepay coordination of benefits (COB) validation

The ”pay-and-chase” approach to coordination of benefits (COB) claims is a commonly known challenge among health plans. Due to rapid payment requirements and complexity of such claims, plans often miss out on millions of dollars in savings while increasing provider abrasion and expending internal resources to recover overpayments.

A streamlined COB solution with both prospective and retrospective claim review, on the other hand, can help ensure that members' claims are paid in the proper order when covered by more than one plan, resulting in increased cost-effectiveness for plans and reduction of claim payment delays. How significant are the savings from pause-and-pay COB validation?

Read on to explore how a prospective solution may benefit your organization and deliver critical savings while improving member satisfaction.

About the Author

As senior vice president of coordination of benefits, Naomi oversees operations for Cotiviti’s prospective and retrospective COB Validation solutions. As a tenured member of our COB team, Naomi has valuable hands-on, day-to-day experience with Cotiviti’s portfolio of COB clients.

Profile Photo of Naomi Murphy