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Insurance eob

An explanation of benefits (EOB) from your insurance provider will arrive with your patient billing statement. How your insurance provider handled the claim for the services you received is detailed in a statement of benefits. Although not a bill, this essential document details how you, your insurer, and the supplier of the medical services will all contribute to it (s).

What is Explanation of benefits (EOB)?

An explanation of benefits (also known as an EOB form) is a letter provided to covered persons by a health insurance provider outlining the medical procedures and/or services that were covered on their behalf. The EOB is frequently included with a check or electronic payment statement.

A point to begin an appeal will often be included, as well as at least a brief explanation of any claims that were rejected. A member who has secondary insurance provides the provider with this information so that the next invoice can be sent to that insurance provider. Typically, secondary insurance only covers the sums that the EOB indicates the member is liable for.

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