When a Person Has Health Insurance Coverage Through Two or More

question 12

Multiple Choice

When a person has health insurance coverage through two or more plans, the determination of which plan will provide benefits as primary or secondary payer is known as:

• A) case management.
• B) benefit determination.
• C) coordination of benefits.
• D) coordination of services.

---

Definitions:

Assignee's Consent

The agreement or approval given by the party to whom rights or property have been transferred or assigned.

Materially Vary

To change in a significant and substantial way, which can affect the outcome or nature of a contract or agreement.

Personal Skill

The ability or expertise that an individual has acquired through training or experience.

Insurance Policy

A contract between an individual or entity and an insurance company, outlining the terms for the payment of claims in the event of loss.