What is an EOB (Explanation of Benefits)?
This is a statement sent directly from the insurance carrier providing specific details about how and why benefit payments were or were not made on a claim. It summarizes the charges submitted and processed, the amount allowed, the amount applied to deductible, the amount applied to coinsurance, the amount paid, and the member’s balance, if any. An EOB is generated for every claim submitted to the health insurance provider.
Related Questions
- Should I include the primary carrier’s explanation of benefits (EOB) when submitting a claim to Washington Dental Service if WDS is the secondary carrier?
- Why do I continue to receive a copy of my Explanation of Benefits (EOB) statement in the mail if I signed up to receive copies online only?
- How do I stop receiving paper Explanation of Benefits (EOB) Statements at my home?
