How does Coordination of Benefits Work?
Coordination of Benefits links members in myGroupHEALTH who have family with active secondary EHC coverage within the GroupHEALTH Family of Companies.
- myGroupHEALTH will seamlessly create the secondary Coordination of Benefits claims
- If the primary claim clears it will auto create a secondary claim within and across the clients/organization
What types of claims does Coordination of Benefits work for?
- Manual claims
- Member portal claims
- TELUS Health EDI claims
Why was Coordination of Benefits Created?
To improve member experience:
- Members will not have to submit claims twice
- Faster reimbursement of eligible claims
- Fewer errors experienced by members if Coordination of Benefits note is missed
- Similar experience to other carriers
To improve employer experience:
- Efficient claims adjudication
- More time to focus on value added items
- Less calls from frustrated members
- Reduces time to correct member submission errors