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An explanation of benefits is a document that explains how your insurance processed the claim for the services you received. It breaks down the information like this: The services we provided. What the doctor or hospital charged (all charges)
The insurance company sends a provider the EOB, also known as the Explanation of Benefits, Explanation of Payment (EOP), or Remittance Advice (RA), after a claim has been decided.
Payee is the person who will receive any reimbursement for over-paying the claim. 6.
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.
In medical billing, the term EOB stands for Explanation of Benefitsa statement that is usually generated to give an insight into the medical benefits covered by the patients insurance payer.
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An explanation of benefits (EOB) shows you the total charges for your visit. An explanation of benefits isnt a bill. It helps you understand how much your health plan covers, and what youll pay when you get a bill from your provider.

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