Ncompass Terminology COB
100
What is Interactions
a collection of work that corresponds to a singular member dealing (Hint: it includes Live and Research)
100
What is COB
is used to determine how benefits will be paid when a member has more than one insurance policy that covers medical expenses
200
What is Coaching Tips
A series of Guides built into Blueview that assist the user with next steps.
200
What is Birthday Rule
a rule to determine who would be primary but the parent whose birthday (month and day) falls earlier in the calendar year
300
What is Contract in Focus
the selected contract for the member in focus. This is product related to the member's inquiry
300
What is Longer/Shorter Rule
The plan that has covered the person for the longer time is primary. The plan that covers the person for a shorter time would be secondary.
400
What is Service Intent
a task that correlates to a specific member request (e.g. Verify Benefits, Request ID Card, etc.)
400
What is Medicare TEFRA/DEFRA rule
That Medicare is Primary for Member who are 65 older and who are retired
500
What is Work List
a Collection of your open and pending work.
500
What does COB stand for
Coordination of Benefits






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