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
Connect
Securely connect EHR/PMS, clearinghouse, and payer APIs (270/271, 276/277)
Configure
Map your specialties, payer mix, and custom routing (commercial, Medicare, Medicaid, COB rules)
Run
We auto-verify coverages, detect overlaps, assign primacy, and flag discrepancies before submission
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.
MSP
Medicare Secondary Payer rules win first when Medicare should pay second, including Working Aged, Disability, ESRD, Workers' Comp, and Auto/Liability cases.
Active/Inactive
An active plan takes precedence over coverage that is terminated, inactive, or COBRA for the date of service.
Subscriber/Employer
A patient's own employer-sponsored plan is primary over a plan where the patient is listed as a dependent.
Birthday Rule
For dependent children with two parental policies, the parent with the earlier calendar birthday, month and day only, is primary.
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
CO-22 denials
Secondary days in AR
Biller hours on secondary claims
Composite Scenarios — Median Outcomes
Illustrative composites built from median outcomes across deployments — not individual customer attestations
Composite — NorthBridge-class Clinics
Primary Care6 locations, Midwest
"COB denials dropped 54% in 90 days; rebills halved."
Composite — Meridian-class Orthopedics Group
Orthopedics48 providers, multi-state
Composite — Riverstone-class Pediatrics Group
Pediatrics19 providers
Composite — AtlasRCM-class BPO
BPO220 FTE, 1.2M claims/mo, 120 clinics
"28 FTE moved from COB rework to denials prevention. Queue aging down 58%."
Seamless Integrations
Works with your existing EHR, PMS, and clearinghouse
COB connects active coverage verification, primary ERA posting with CAS adjustments, secondary 837P submission, CO-22 and CO-23 denial feedback, hidden coverage discovery, and payer-specific risk adjustment review routing.
Supported Platforms
*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
Encryption
Data encrypted in transit (TLS 1.2+) and at rest (AES-256)
Access
SSO/MFA, least-privilege, granular role-based access controls
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
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
Scale
For health systems & RCM BPOs
- ✓Unlimited claims, multi-tenant controls
- ✓Advanced payer playbooks, bulk recovery workflows
- ✓Dedicated TAM, HA/DR, BAAs & enterprise security
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