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  Coordination of Benefits


Coordination of Benefits - Summary


Please update or confirm the information we have on file for you and your eligible family members. Correct information helps us process your claims accurately and efficiently.

To Update
If you have new coverage information to add or update for any member(s), check the box next to the member(s). Then click Update.

To Confirm
If the data displayed below is still current, click Confirm.

 

Coordination of Benefits
Name Relation Date
of Birth
Medicare *Group Coverage
  Effective Last Verified Date Status
Chris Johnson Self 01/01/1965

Part A: Ineligible

  01/01/2008 Not Applicable
Part B: Ineligible  
Part D: Ineligible  
Pat Johnson Spouse 01/01/1964

Part A: Ineligible

  01/01/2008 Not Covered by Other Insurance
Part B: Ineligible  
Part D: Ineligible  
Madison Johnson Child 05/01/2000

Part A: Ineligible

  01/01/2008 Not Applicable
Part B: Ineligible  
Part D: Ineligible  

 

* Coverage obtained privately on an individual basis, including government-sponsored plans (such as Champus, CHIP, and Medicaid) are not considered Group Coverage and should not be reported here.

 

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Also See
 
How can I see if my doctor is in network?
 
 
Common Questions more
 
How can I see if my doctor is in network?
Do I need a referral?
Where can I find out if a procedure is covered?
 

 

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Today's Date: Jun 5, 20082006 UnitedHealthcare