A family of five is covered by multiple insurance companies:
" Father Jones works for a private firm, has his primary health insurance (ABC) through work, and secondary health insurance (XYZ) through his wife.
" Mother Jones works for the state the Jones family resides in, has health insurance through work, and life insurance through her husband.
" Sally Smith is covered under her mother's health insurance policy until the age of 24.
" Jeff Jones works at a bookstore and is covered under his father's life insurance policy.
" Nikki Jones is covered under both of her father and mother's policies
Determine the coordination of benefits for each family member for the visits listed in the table below. The first visit is completed as an example: Father Jones has the flu and goes to the doctor. Primary insurance is ABC and secondary is XYZ because his insurance is primary for his visits.
Patient Name Family Relationship Date of Birth Type of Insurance Reason for Visit Order of Insurance
Primary
Secondary Explanation
Father Jones Father of the Jones family
Works for a private firm 5/14/1968 ABC Flu Primary ABC
Secondary XYZ His insurance is primary for his visits
Mother Jones Mother of the Jones family
Works for the state 04/13/1969 XYZ Annual examination
Sally Smith Daughter of Mother Jones from her first marriage 1/1/1993 Covered under Mother's XYZ policy until the age of 24 Annual examination
Jeff Jones Son of Father Jones from his first marriage
Works at Barnes Books 12/25/2000 Covered under Father's ABC policy Books fell on his head at the bookstore he works for
Nikki Jones Daughter of Father and Mother Jones 4/15/2005 Covered under both Father's ABC and Mother's XYZ policies Annual examination
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ABC 45 XYZ 34 bam 32q
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