What occurs if a patient restarts COB within 12 months?

When a patient restarts Coordination of Benefits (COB) within 12 months, the same COB remains because the patient's circumstances and the relationships among the different insurance policies have not changed significantly since the initial determination. This means that the original coordination rules established remain applicable without requiring a reevaluation or adjustment.

In many insurance scenarios, COB rules are designed to streamline the process and ensure that benefits are paid efficiently without overlaps or duplications. Therefore, if the COB was already established and the patient is returning within a year, there is continuity in the benefits coordination process, thus maintaining the same established arrangement.