Examlex
Which of the following statements is most likely true?
Primary Payer
The insurance policy or program that pays first on a claim for medical care, determining the extent of coverage before any secondary payer contributes.
Employer-provided Insurance
Health insurance coverage provided to employees (and often their families) as part of an employment benefit package.
Birthday Rule
A rule that states that the insurance policy of a policyholder whose birthday comes first in the year is the primary payer for all dependents.
Birthday Rule
An insurance policy determination rule that establishes priority of coverage for a child when covered by both parents' plans; typically, the parent whose birthday occurs first in the calendar year holds the primary plan.
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