Each EOB is specific to the provider (physician,lab) and the service they rendered. The format varies widely between insurance companies, but at a minimum an EOB should indicate the: provider, service date, actual billed amount, network discount, allowed amount, insurance portion, patient responsibility and deductible amount. I’ll discuss each of these terms. It is important to remember that an EOB is NOT a bill. Usually, almost all EOBs state “THIS IS NOT A BILL” in big bold letters, to minimize confusion.
Every EOB you contains information about services you received from that specific provider during a particular visit. A provider is anyone who supplies healthcare and/or other medically related services and products. A provider may be a physician, dentist, clinic, hospital, pharmacy, lab, physical therapists or other health care professional. Looking at your EOB, you should see the name of the provider or facility that filed the claim for reimbursement listed. A service is a procedure or product rendered by a provider to a patient. A service could range from a basic physician visit to radiology services to surgical care or medical equipment. The date on which you received services from a provider is called the service date.
Continue Reading »Medical Care Expense – Understanding Your EOB (Explanation of Benefits)
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