New COBA Partner Additional Forms & Outreach Coordination of Benefits Agreement

Provides downloadable forms and information geared towards current and new COBA trading partners.

The Test Sign Off Form has been moved to Downloads section of the the HIPAA 5010 COB Claims section page.

Downloads
Medigap Insurer Letter (PDF 51KB)
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Page Last Modified: 01/31/2012 11:41:57 AM
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A federal government website managed by the Centers for Medicare & Medicaid Services
7500 Security Boulevard, Baltimore, MD 21244

7500 Security Boulevard

Baltimore, MD21244

USA

New COBA Partner Additional Forms & Outreach