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the payee, the payer and the patient.
Its calculated as a percentage of the allowed amount. For example: If your coinsurance is 20%, youd pay $20 if the allowed amount is $100. A fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service.
Its calculated as a percentage of the allowed amount. For example: If your coinsurance is 20%, youd pay $20 if the allowed amount is $100. A fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service.
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.
An Explanation of Benefits (EOB) is a statement that your insurance company sends that summarizes the costs of health care services you received. An EOB shows how much your health care provider is charging your insurance company and how much you may be responsible for paying. This is not a bill.
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Its calculated as a percentage of the allowed amount. For example: If your coinsurance is 20%, youd pay $20 if the allowed amount is $100. A fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service.
It simply tells you everything you might want to know about how your recent medical service was covered by your benefits plan. Youll receive a bill from your provider for any amount you may owe.
Everyone that posts dental insurance checks knows what an EOB is and how important that document is for explaining if and how the claim was paid and if the patient still owes any money on the claim.
What is an Explanation of Benefits? Each time your insurer pays for a service you use, they send you an Explanation of Benefits (EOB). The EOB is your insurance companys written explanation for that claim, showing the name of the provider that covered the service and date(s) of service.
How to read your EOB ProviderThe name of the doctor or specialist who provided the service. Service/ProcedureThe type of service you received. Total CostThe amount we pay for the service. Not CoveredThe amount of the service not covered (this usually only occurs if the service is denied).

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