What is an “EOB”?
An EOB (Explanation of Benefits) is a document you receive from your health insurance company that details payments made for medical procedures received by you and your family and processed by your health insurance plan. The EOB includes the date(s) of service, cost of the procedure, the amount that was applied to your health plan deductible, co-insurance and/or co-payment amount, as well as the amount that is your responsibility. It will also list the provider discount. This discounted amount should not be your responsibility under the terms of the health insurance plan. Making Payments to Providers Your insurance carrier also sends a similar document to your provider. This document indicates the amount that the provider should be charging to you. In other words, the amount that is subject to the deductible, coinsurance, or a co-payment. Anytime you receive a bill from a provider you should wait to receive the corresponding EOB before making a payment. Compare the amount that you owe
