WHAT IS AN EXPLANATION OF BENFITS (EOB)?
An Explanation of Benefits is the form sent to you or to the medical provider explaining exactly what your primary health insurance provider will or will not cover. It gives you information such as the date of service, the medical providers name, the medical facility’s name, the amount of the bill, whether the bill was paid, the amount of the payment, whether it was applied to the deductible or rejected and the reason for rejection. Most out of state health insurance providers will send the explanation of benefits directly to the policyholder.