What happens to the original coordination of benefits (COB) if a transplant patient returns within 36 months of recovery?

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The original coordination of benefits (COB) remains in effect if a transplant patient returns within 36 months of their recovery. This means that the financial responsibility and the order in which the insurance plans pay will not change, still following the initial agreements made regarding the coverage.

The logic behind this is based on the continuity of care for the patient. If a transplant patient requires follow-up treatment or services related to their original transplant within this timeframe, the plans that initially coordinated benefits continue to do so, ensuring that there is no disruption in coverage for necessary post-transplant care.

Essentially, maintaining the original COB allows for a streamlined process regarding claims, ensuring that the patient can receive care without additional administrative hurdles or changes in coverage that could delay or complicate necessary medical attention.

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