Why Are Coordination of Benefits, PHI Release & Actively at Work Forms Important — and How to Assign Them

These forms are essential for accurate administration, safeguarding stop loss coverage, and optimizing plan performance.

• Coordination of Benefits (COB): Ensures the plan knows if a member has other insurance. Without this, the plan may incorrectly pay claims that should be assigned to another carrier, inflating costs and jeopardizing stop loss agreements.
• PHI Release: Grants authorization to share protected health information, enabling Smooth care coordination, claims processing, and clinical interventions. Without it, delays or denials may occur.
• Actively at Work: Confirms an employee is actively employed and eligible for coverage. Stop loss carriers often require this to validate large claims; missing documentation risks claim denial.

You can assign these forms to members using the following instructions:

👉 Assign Forms (Yuzu Docs)