Coordination of Claims Adjustments with Health Funds
Coordination of Benefits (COB) is a crucial process in the world of health insurance. It ensures that individuals with multiple health plans receive appropriate coverage and avoid duplicate payments. By determining primary and secondary payers, COB helps allocate costs and keep healthcare expenses affordable. Let’s explore the importance of coordination of benefits and how it […]
Claims Adjustment Auditing and Monitoring
Claims adjustment auditing and monitoring are crucial processes in the insurance sector in Australia. These processes involve conducting audits to evaluate the performance of insurers in managing claims and ensuring compliance with relevant legislation. The State Insurance Regulatory Authority (SIRA) in New South Wales is responsible for conducting audits of insurers, while insurers themselves are […]
Veterans and Defense Personnel Claims Adjustments
Navigating claims procedures can be overwhelming for Australian veterans who are dealing with changes in their health and employment as recently discharged ADF members. The Department of Veterans Affairs (DVA) exists to provide a range of services and support for veterans to manage their injuries, both physical and psychological, that occurred during active service. This […]