HIPAA’s requirements for Coordination of Benefits (COB)  
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Resources for Health Insurance Portability and Accountability Act (HIPAA)

HIPAA’s requirements for Coordination of Benefits (COB)

SNIP-Transactions Work Group

This paper addresses the business process of COB between one health plan and another and/or between a healthcare provider and a health plan along with the applicable rules under HIPAA. This paper does not address COB between a health plan and its members since that process is outside the scope of HIPAA’s rules on administrative transactions.

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