Introducing coordination of benefits (COB) checks

When a patient is covered by more than one health plan, you need to know which plan is primarily responsible for paying claims (coordination of benefits). You can now submit coordination of benefits (COB) checks in the Stedi UI to determine:

• If a patient is covered by more than one health plan

• Whether coverage overlap requires coordination of benefits

• Each payer’s responsibility for payment (primacy) in coordination of benefits scenarios

For each COB check, Stedi searches a national database of eligibility data from state and commercial payers. This database has 245+ million patient coverage records from 45+ health plans, ASOs, TPAs, and others, including participation from the vast majority of national commercial health plans. Data is updated weekly to ensure accuracy.

The response includes information about the patient’s active health plans, whether coordination of benefits is required, and the responsibility sequence number for each payer if available (such as primary or secondary).

To help reduce claim denials, we recommend coordination of benefits checks for all new patients with coverage through one of Stedi’s supported COB payers. Visit the Payer Network for a complete list.