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DESIGNATION OF MEDICAL PROVIDERS - BenefitSource

DESIGNATION OF MEDICAL PROVIDERS - BenefitSource 2025

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The document designates specific medical providers for treatment of work-related injuries for Visa Inc. It includes contact information for each provider, a section for the employee to select their preferred provider, and details about the authorized representative and insurer.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the provider name for health insurance?

A Medical Provider Network (MPN) is a group of health care providers (physicians and other medical providers) used by your employer to treat workers injured on the job. MPNs must allow employees to have a choice of provider(s).

Does an EOB mean I owe money?

An EOB is different from a bill. Its purpose is to tell you which costs your insurance has paid for and what you, the patient, must pay. Your medical provider will send a separate bill for your amount, which should match whats on your EOB.

What is the provider explanation of benefits?

Information about your bill 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.

Who issues the Explanation of Benefits?

Every time you receive care from a provider or file a claim for services received, your insurer will send you an Explanation of Benefits. This form is not a bill.

What is an Explanation of Benefits in healthcare?

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.

Where do I find my 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.

DESIGNATION OF MEDICAL PROVIDERS - BenefitSource 2025

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