Explanation of benefits template 2025

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An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products youve received. The EOB is generated when your provider submits a claim for the services you received. The insurance company sends you EOBs to help make clear: The cost of the care you received.
The EOB will show a variety of information, including details about the medical treatment, the amount that was billed, the amount that the health plan allows for that service, the amount the health plan paid (if any), and the amount that the patient owes.
The explanation of benefits lists the cost of your care, and how much your health insurance company will pay. Provider Charges is the amount your provider bills for your visit. Allowed Charges is the amount your provider will be paid. This may not be the same as the Provider Charges.
You should keep your Explanation of Benefits documents (shortened to EOB) in an organized system. You can sort your EOBs by date of service and reference them as you progress through the insurance and payment portions following your care and medical treatment. the providers that are listed as part of your care.
Serious illness: When you or someone you are caring for is seriously ill, it is recommended that your EOB record retention is five years after the illness or condition is alleviated. If you or the patient is claiming or has claimed a medical deduction, keep the explanation of benefits for seven years.
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