Which process prevents multiple insurers from paying benefits that are covered by other policies?

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The process that prevents multiple insurers from paying benefits covered by other policies is known as Coordination of Benefits (COB). This system is crucial in situations where an individual has multiple health insurance policies, ensuring that the total benefits paid do not exceed the total allowable costs associated with the claim.

When an insured has more than one health plan, COB allows insurers to determine their respective payment responsibilities, thus facilitating a smooth claims process. For example, if an individual has both a primary and secondary insurance, COB establishes which insurer pays first, ensuring that the primary insurer pays its share before the secondary insurer contributes. This minimizes the risk of overpayment and helps manage healthcare costs effectively.

The other processes mentioned serve different purposes in revenue cycle management. Benefit Analysis focuses on reviewing what services are covered or excluded under a policy, Claim Verification involves confirming the details and legitimacy of a claim before submission, and Policy Synchronization refers to aligning various policy aspects, which might not directly relate to the coordination of benefits among multiple insurers.

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