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The “birthday rule” is an informal procedure used to determine which plan is “primary” when individuals are listed as dependents on more than one policy.

True / False.

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Answer: The correct answer is : True

Explanation: Insurance reimbursement is typically based on "medical necessity". UCR fees for commercial insurers are established by the federal government. The birthday rule says that the health plan of the parent whose birthday is first in the calendar year is primary coverage for the children, and the plan of the parent with the later birthday is be secondary. The birthday rule goes by month and day, not year.

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