Question

Which of the following provisions ensures that an insured patient's benefits from third-party payers do not exceed 100% of allowable medical expenses?

Source document
Assignment of benefits
Coinsurance
Coordination of benefits

Answer 1

Coordination of benefits.

This provision prevents the insured from being reimbursed for more than 100% of allowable medical expenses by determining the order (primary/secondary) and prorating payments among multiple insurers.