Coordination of benefits consensus solution
Determine the primary payer faster
What if you could make faster, more accurate claim payments? That can be a challenge when members have more than one health plan. With our coordination of benefits consensus solution, you can automate and streamline primacy decisions. This gives you an efficient way to determine payment responsibility and save valuable healthcare dollars.
Lines of business
• Commercial
• Medicare
• Medicaid
• Federal employee
What happens when primary coverage is clear from the start?
Our solution helps expedite the identification of other coverage and streamline the process of determining the responsible primary payer.
Reduce administrative costs
We help you reduce calls, disputes, and rework for your plan and providers.
Create clarity in the payment workflow
Our solution helps deliver consistent, clear outcomes — the first time around. That way, the coordination of benefits process is more predictable and understandable.
Drive provider and member satisfaction
With faster, more accurate decisions, we help you create an improved provider and member experience .
Inside our coordination of benefits solution
Leave the guesswork out of coordination of benefits. Our solution helps you identify primary coverage accurately and efficiently by bringing together real-world expertise and powerful technologies.
Highly secure data platform
Industry-wide eligibility data channels
Analytics platform
Online workflow collaboration tool
Dashboards and reporting
Highly secure data platform
Industry-wide eligibility data channels
Analytics platform
Online workflow collaboration tool
Dashboards and reporting
How our solution works
Collect
We collect and store your membership and other health plan information on a highly secure data platform.
Analyze
We leverage our comprehensive primacy rules engine and curated eligibility information to consistently, accurately, and automatically identify the responsible primary payer.
Enhance
We provide validated supporting documentation offering transparency into accurate, consistent primacy decisions.
Explore related solutions
Ask us about our coordination of benefits solution
Health plan leaders, contact us to learn more about the possibilities and impact of our coordination of benefits solution.
Are you a health plan member?
If you’re a health plan member and have a question about your health plan, please call the member services number on the back of your health plan ID card.
