When indicating whether MBA is PRIMARY or SECONDARY for a dental claim, agents must clearly document the MEMBER NAME the coverage applies to in the Event Notes.
🔎 Required Documentation in Event Notes:
✔️ Member Name (who the claim is for)
✔️ MBA Coverage Status (Primary or Secondary)
📝 Example Event Notes:
“MBA is PRIMARY for Jeremy Smith.”
“MBA is SECONDARY for Maria Smith.”
📌 Why this is required:
Ensures accurate coordination of benefits
Prevents claim processing errors and rework
Avoids confusion when multiple members are on the policy