When a Coordination of Benefits Situation Exists,the Health Insurance Professional

question 15

Multiple Choice

When a coordination of benefits situation exists,the health insurance professional should first:

• A) disregard the primary payer.
• B) disregard the secondary payer.
• C) verify which payer is primary and which is secondary.
• D) submit two claims simultaneously.

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Definitions:

Appeal to Majority

A fallacy in reasoning that argues a claim must be true simply because a majority of people believe it.

Fallacy

An incorrect assumption or flaw in logic that causes an argument to be invalid.

Appeal to Authority

A logical fallacy in which the argument relies on the authority or reputation of an individual as evidence, rather than on logical reasoning or empirical evidence.

Sarah McLachlan

A Canadian singer-songwriter and musician known for her emotive ballads and involvement in the Lilith Fair tour which promoted female musicians.