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Beyond claims: how to design a more member-centric COB process

Your members’ lives are not linear. Unpredictable circumstances, such as major illness or job loss, impact how coordination of benefits (COB) rules are applied and often create gaps in information between members, providers, employers, and payers. This can create uncertainty about what is covered and who is responsible for payment.

In this panel webinar, Cotiviti payment leaders explain how to optimize your COB process to account for variable member life events to help ensure proper COB determinations by:

  • Looking beyond claims to see the whole member experience
  • Performing focused and intentional member selection
  • Using predictive analytics and expert experience to address complex billing scenarios
  • Integrating prospective and retrospective payment integrity processes

By designing a COB process predicated on the lifecycle of your members, rather than just claims, you can address and resolve payment issues earlier—often before claims are received or paid.