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The regulation, at § 2560.503-1 (e), defines a claim for benefits, in part, as a request for a plan benefit or benefits made by a claimant in accordance with a …
https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Coordination-of-Benefits/Coordination-of-Benefits
Coordination of benefits (COB) allows plans that provide health and/or prescription coverage for a person with Medicare to determine their respective payment responsibilities (i.e., determine which insurance plan has the primary payment responsibility and the extent to which the other plans will contribute when an individual is covered by more than one plan).
https://www.pct.edu/files/imported/public/humanresources/docs/Discovery%20Benefits%20Contact%20Information%20-%20Claims%20Submission.pdf
Discovery Benefits Contact Information: Participant Services – Hours of Operation: 7:00 a.m. to 10:00 p.m. EST Participant Services Toll‐Free Number: 866‐451‐3399
https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Overview
Activities related to the collection, management, and reporting of other insurance coverage for beneficiaries is performed by the Benefits Coordination & Recovery Center (BCRC). In certain situations, after a Medicare claim is paid, CMS receives new information indicating Medicare has made a primary payment by mistake.
https://www.healthit.gov/isa/section/health-care-claims-and-coordination-benefits
Health Care Claims and Coordination of Benefits. Health Care Claim Status Request and Response; Health Care Claims or Equivalent Encounter Information for Dental Claims; Health Care Claims or Equivalent Encounter Information for Institutional Claims; Health Care Claims or Equivalent Encounter Information for Professional Claims
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