Explanation of Benefits (EOB)
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July 11th, 2022
Benefits 101
We know that benefits can be confusing. To help you better understand your health care plans, each month we will review often-asked questions, explain terminology and offer tips so you can make the best choices for you and your family.
What is an EOB?
When you receive medical care from a doctor, therapist, laboratory, or hospital, your provider will file a claim with your medical insurance carrier on your behalf. Your medical carrier will send you an Explanation of Benefits, or EOB, to let you know that a claim has been processed.
The EOB details information such as:
- The service you received
- The provider performing the service
- Network discount, if applicable
- Amount covered or not covered
- What your insurance paid
- Your remaining balance
It is important to know, the EOB is NOT a bill. You do not generally need to take any action when you receive it. However, it is important for you to review the information and make sure it’s correct. Take a look at a more detailed breakdown of an EOB.