What is a coordination-of-benefits questionnaire?
A coordination-of-benefits questionnaire is a routine form your health plan sends to find out whether you have more than one insurance plan. It uses your answers to decide which plan pays first.
Something in your records suggested you might have other coverage, for example a spouse’s plan, Medicare, or a plan from a previous job. Plans send these regularly to keep their records current. It is not a sign of a problem with your claim.
Whether you or your family members have any other health coverage, and if so, the plan name and dates. If you have no other coverage, most forms let you say so and return it.
If a coordination-of-benefits request goes unanswered, the plan may hold or deny related claims until it knows which insurance pays first. Answering it is how the plan sorts that out. We can’t predict what your plan will do in your specific case. This is how these letters generally work.
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Decode your exact letter, free →This page explains the general pattern of this letter type, cited to how these letters typically read. It is educational only, not legal or claims advice.