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Coordination of benefits for newborn child
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Just over a year ago my spouse and I welcomed our first child to our family. My spouse and I both have employer sponsored health insurance with Anthem (different employers) and only covered ourselves respectively.

I have a high deductible plan while my Wife as a PPO. When reviewing costs/plans we decided my spouse would cover our child under her plan - she enrolled timely adding our son to her coverage.

Just last week (almost a year since his birth) Anthem is billing me for the "first 30 days" saying that due to coordination of benefit I would be responsible (My birth date is earlier than my wife) I was obviously pretty surprised as I never elected to cover my dependent and thought he was covered under my spouses plan. I never received a EOB and nothing shows no my account when I log into the insurance website.

My spouse has spoken to a handful of service reps who keep telling us different stories. We originally were told that that had a issue on their end when they were "merging systems" and that they would fix the error. We are not being told that it's not the case and that I owe as it automatically goes to me the first 30 days.....

Can anyone shed some light on this? does this sound correct? I'm planning on reaching out to my HR department and Anthem but wanted to check in and see if someone can give my guidance.

Thanks in advance!

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Posted
6 years ago