CAQH Video and White Paper on Coordination of Benefits

COB Smart™, a CAQH Solution is Improving Coordination of Benefits Processes Inefficient coordination of benefits (COB) processes cost the healthcare system $800 million annually. A CAQH white paper exploring the administrative inefficiencies associated with COB is now available.  The white paper examines current COB processes and summarizes common challenges, such as poor communication among public and private payers, limitations with HIPAA transaction standards and operating rules, and the number of constituents involved in complex claims practices.  A segmented cost analysis of related provider and payer expenses illustrates multiple opportunities for improving COB processes. COB Smart, a CAQH solution, is helping health plans and providers correctly identify which individuals have benefits that should be coordinated in order for corresponding claims to be processed correctly the first time. Designed for industry-wide participation, the solution is already identifying COB for more than 100 million patients. Watch the CAQH video about COB Smart to learn how the solution works and the many ways it helps health plans, providers, and individuals.   Interested in learning more or using COB Smart? Visit www.caqh.org/cob_smart.php or contact CAQH at cob@caqh.org. CAQH is a nonprofit alliance of health plans and trade associations that serves as a catalyst for industry collaboration on initiatives that simplify healthcare administration for health plans and providers, resulting in a better care experience for patients and caregivers.