Question

A family of five is covered by multiple insurance companies: . Father Jones works for a priva ate firm, has his primary health insurance-(ABC) through work, and his secondary health insurance through (XYZ) through his wife. .Mother Jones works for the state in which the Jones family resides, has health insurance (XY2) 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 health insurance policy Nikki Jones is covered under both her father's 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 listed as an example: Father Jones has the flu and goes to the doctor. Primary insurance is ABC and secondary insurance is XYZ because his insurance is primary for his visits. Complete the table for each remaining family member, using the Reason for Visit found in the table, and the insurance information provided above: Order of Family Relati Patient Name onship; Work Date of Birth Information Type ofReasonfor Insurance: Explanation Insurance Visit Reason for ip: Work Date of Birth Primary, Secondary Primary: ABC His insurance Father: Works

Answer 1

Mother Jones - primary insurance XYZ, secondary insurance ABC- her insurance is primarily for her visits.

Sally Smith - primary insurance XYZ as she's daughter of first marriage of mother.

Jeff Jones - primary insurance ABC- as he's son of father from first marriage.

Nikki Jones - convered by insurance ABC and XYZ as they are daughter of father and mother Jones. Primary insurance is XYZ and secondary insurance is ABC