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⭐ Trusted by 27 healthcare organizations

Eliminate COB errors for RCM teams & multi-site providers
without costly rework

QuickIntell Coordination of Benefits (COB) Automation lets revenue teams determine primary/secondary/tertiary coverage in minutes, pre-claim, so you boost first-pass yield and stop duplicate payments.

The Problem

You're stuck with manual eligibility checks, late COB discovery after denials, and payer-specific edge cases that slip through. It costs hours per day, avoidable write-offs, and audit risk.

The Solution

QuickIntell COB ingests active coverage, uses primary ERA and CAS data from Payment Posting, and applies payer rules so secondary 837P claims route cleanly the first time.

How It Works

Four simple steps to eliminate COB errors

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01

Connect

Securely connect EHR/PMS, clearinghouse, and payer APIs (270/271, 276/277)

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02

Configure

Map your specialties, payer mix, and custom routing (commercial, Medicare, Medicaid, COB rules)

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03

Run

We auto-verify coverages, detect overlaps, assign primacy, and flag discrepancies before submission

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04

Measure

Dashboards track COB denials, rework time, recovery, and payer-specific trends

Rule Cascade

QuickIntell applies payer-order rules in this sequence: MSP > Active/Inactive > Subscriber/Employer > Birthday Rule > Manual.

1

MSP

Medicare Secondary Payer rules win first when Medicare should pay second, including Working Aged, Disability, ESRD, Workers' Comp, and Auto/Liability cases.

2

Active/Inactive

An active plan takes precedence over coverage that is terminated, inactive, or COBRA for the date of service.

3

Subscriber/Employer

A patient's own employer-sponsored plan is primary over a plan where the patient is listed as a dependent.

4

Birthday Rule

For dependent children with two parental policies, the parent with the earlier calendar birthday, month and day only, is primary.

5

Manual

When documentation overrides the cascade or the engine cannot decide, staff can set the order manually with a required audit reason.

Complete Feature Set

Everything you need to automate COB processes

Automate

  • Auto primacy assignment with state & payer rules
  • Batch 271 checks + real-time RTE

Collaborate

  • Work queues for exceptions
  • Patient outreach via SMS/voice

Control

  • Rule editor for payer quirks
  • Role-based approvals

Report

  • COB Denial Heatmap by payer
  • Recovery & Avoidance ROI

COB Automation Depth

MSPQ workflow

Open the MSP Questionnaire for Medicare-eligible patients and document the category before saving the order.

Opportunity Detection

Scan primary remittance hints like CO-22 and OA-23 to find hidden secondary coverage.

Per-payer automation modes

Set AUTOMATIC, SEMI_AUTOMATIC, or NOTIFY_ONLY behavior by payer during onboarding and operations.

837P COB2 loop

Generate secondary 837P files with primary paid amounts and CAS adjustment carryover from the ERA.

FHIR write-back to OpenEMR

Sync Coverage and RelatedPerson data, then write saved COB orders back to the OpenEMR insurance pane.

Batch generator

Preview and run daily or weekly secondary generation jobs by date range, facility, payer, or dollar minimum.

Reasoned override audit trail

Require notes for manual overrides and retain the determination method, reason, user, and timestamp.

Tertiary support

Maintain a third coverage slot and queue tertiary claims after the secondary payer adjudicates.

Canonical COB Outcomes

Metrics from the COB operating manual

Secondary submission rate

60-70%95%+
within 90 days

CO-22 denials

Baseline30-50% lower
manual target

Secondary days in AR

65-90 days35-45 days
faster cash

Biller hours on secondary claims

8-15 hrs/wk2-3 hrs/wk
less rework

Composite Scenarios — Median Outcomes

Illustrative composites built from median outcomes across deployments — not individual customer attestations

Composite — NorthBridge-class Clinics

Primary Care

6 locations, Midwest

COB denials
↓ 57%
14.3% → 6.1%
First-pass yield
↑ 9.5 pp
82.9% → 92.4%
"COB denials dropped 54% in 90 days; rebills halved."
— Composite scenario, median across primary-care deployments

Composite — Meridian-class Orthopedics Group

Orthopedics

48 providers, multi-state

COB denials
↓ 61%
11.1% → 4.3%
DSO
↓ 8 days
43 → 35 days
Tertiary Coverage Success
Avoided duplicate payments: $0.52/claim

Composite — Riverstone-class Pediatrics Group

Pediatrics

19 providers

Manual touches
↓ 76%
2.1 → 0.5
First-pass yield
↑ 8.8 pp
86.3% → 95.1%
Patient Outreach
72% SMS response rate within 48 hours

Composite — AtlasRCM-class BPO

BPO

220 FTE, 1.2M claims/mo, 120 clinics

COB denials
↓ 54%
13.5% → 6.2% in 60 days
SLA hit rate
99.93%
RTE < 3s
"28 FTE moved from COB rework to denials prevention. Queue aging down 58%."
— Composite scenario, median across BPO deployments

Supported Platforms

Epic*
Cerner*
Athenahealth
eClinicalWorks
NextGen
OpenEMR**
Waystar
Availity
Change Healthcare

*Epic/Cerner via customer-owned connections/marketplaces

**Open source support available

What It Enables

Pre-claim COB verification inside your existing PMS/EHR workflows

Auto-population of secondary insurance and filing order on the claim

Smart routing to secondary/tertiary with correct COB codes

Closed-loop status (276/277) and exception handling without swivel-chairing

Security & Compliance

Enterprise-grade security you can trust

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Encryption

Data encrypted in transit (TLS 1.2+) and at rest (AES-256)

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Access

SSO/MFA, least-privilege, granular role-based access controls

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Audits

Full activity logs, data retention controls, breach & DR playbooks

Compliance

HIPAA-aligned processes with BAAs; SOC 2 readiness documentation available

Plans

Choose the plan that fits your organization

Starter

For clinics & small groups

  • Up to 10k claims/mo processed for COB checks
  • Pre-claim COB verification + manual exception queue
  • Email support, starter dashboards
Book a demo
POPULAR

Growth

For multi-site groups & MSOs

  • Up to 75k claims/mo + priority RTE throughput
  • Custom rules, payer bundles, outbound patient outreach
  • SSO/MFA, audit logs, premium dashboards & exports
Book a demo

Scale

For health systems & RCM BPOs

  • Unlimited claims, multi-tenant controls
  • Advanced payer playbooks, bulk recovery workflows
  • Dedicated TAM, HA/DR, BAAs & enterprise security
Talk to sales

Volume discounts and BPO pricing available.

Frequently Asked Questions

Ready to end COB denials and duplicate payments?

Join 27 healthcare organizations already eliminating COB errors

⚡ 60-day pilot guarantee: If COB denials don't drop ≥30%, we extend 30 days free