A statement sent to a participant in a health plan listing services, amounts paid by the plan, and total amount billed to the patient.

the statement sent to you by your health plan outlining the services you received, how much is paid to the provider(s), and how much you are responsible for paying.

A statement provided to the insured by an insurance company explaining how the claim was processed.

Notification by the insurer that explains the benefits that were paid and/or rejected. Back to the top of the page

The explanation generated by an insurance that pays BEFORE Medicare pays, i.e., Employer Group Health Plan, workers compensation, etc.

Information provided to patients and providers by payors indicating how the claim was processed

A statement sent to the subscriber explaining action taken by the Plan regarding a claim filed on his or her behalf.

A statement sent by a managed care plan or an insurance company to a plan member who files a claim.

A statement from an insurance company showing which payments have been made on a claim.

A statement from a claims administrator or insurance company that describes services or treatments performed, dollar amounts paid by the plan, benefit limits, and denials. If you have coverage under more than one health care plan, you must submit a copy of your EOB along with your claim for reimbursement of expenses. In addition, it is important to keep a copy of your EOBs in your personal files for future reference.

The statement sent to a subscriber by their benefits company listing services provided, amount billed, eligible expenses, and payment made by the company.

The EOB explains what parts of a claim are covered expenses and whether the claim was paid by the plan.

(often referred to as EOB) – an itemized statement from Blue Cross Blue Shield or AdvancePCS that lists charges made and the amounts paid or denied as the result of a claim.

The form sent to an individual subscriber by an insurance carrier or third party administrator following a submission of a claim form by the subscriber. The EOB normally lists the procedures performed and states the amount of payment due, if any, from the subscriber's insurance plan. The EOB usually accompanies the payment check or acknowledges payment(s) made directly to the provider.

A printed explanation, sent to health plan members, that describes the benefits received and services for which a healthcare provider has requested payment. back to the top

The statement sent to you by your health plan explaining the benefit calculation and payment of medical services that details the services rendered and the benefits paid or denied for each service. An EOB lists the charges submitted, the amount allowed, the amount paid and any balance owed as the patient's responsibility.

An explanation of services periodically issued to recipients or providers on whose behalf claims have been paid. It tells what was billed, the payment amount approved by the insurance, the amount paid, and what the patient has to pay. It also gives the reasons for denying a claim.

nbspA statement the insurance carrier sends you to explain how your claim was processed/paid.

A statement sent by health insurance companies to insured's after a claim has been filed which details the medical services provided, the amounts billed, payments made or denied and the reasons.

A formalized statement to a subscriber and/or Provider showing action taken on a Claim.

A form sent to the insured to explain the amount of benefits for dental care expenses acquired by the insured.

A statement sent to providers and members by the claim payer when a claim for medical services is processed. EOB's outline benefits paid.

The EOB summarizes and explains the amounts approved and paid to healthcare providers, and also details why certain services were not covered or paid for.

This is the information an insurance company provides a patient about a certain claim, i.e., what service were provided by whom, the amount charged for the services, what action the insurance company took, and how much the insurance company paid on the patient's behalf. This is also known as Explanation of Medical Benefits.

A statement from a health carrier showing payments or denials for claims for health care services.

The document you receive after you file a claim. The EOB shows how much of the expense the plan paid and how much you are expected to pay. If part or all of the expense is not covered, the EOB should explain why.

A notice that is sent to you after the physician or other health-care provider submits a claim. This notice explains what the physician billed, the amount approved, the benefit paid, and how much you must pay (if any).

A notice that is sent to the client after the doctor files the claim. This notice explains what the provider billed for, the approved amount, how much was paid, and what, if anything, the client owes.

A statement health plans send to members, listing services provided, billed amounts, amount paid, and any remaining amount the member is responsible for paying.

A statement received from your health insurer, which explains how plan benefits were applied to a specific claim and the amount paid to you or your physician. The explanation should also show how much of a claim has been paid so that you can inform a secondary payor about any outstanding charges owed.

A communication to a beneficiary explaining which claims submitted have been fully paid, partially paid, or not paid, along with an explanation for each action.

A statement from a health insurance company explaining the status of your claim.

The statement sent to a member listing the services provided, amount paid, and eligible expenses paid by the insurance company.

a written statement to a beneficiary, from a third-party payer, after a claim has been reported, indicating the benefit/charges covered or not covered by the dental benefit plan.

A statement sent to covered individuals explaining services provided, amount to be billed, and payments made. A summary of benefits provided subscribers by the carrier.

A description sent by a health insurance company that details the services received, the cost for those services, and the amount the health insurance company will cover. The remainder is billed to the patient.

The EOB is not a bill. It details how the claim was processed and indicates the portion of the claim paid to the dentist and the portion of the claim you need to pay (if applicable).

a carrier's written response to a claim for benefits. Sometimes accompanied by a benefits check.

A form sent to the enrollee after a claim for payment has been processed by the health plan. The form explains the action taken on that claim. This explanation usually includes the amount paid, the benefits available, reasons for denying payment, and the claims appeal process.

A statement an insurance company sends to insureds which lists the services provided, billing amounts for those services, allowable amounts and the corresponding payments that the carrier will make as well as the members financial responsibility.

A form provided to members to explain how the payment amount for a health benefit claim was calculated.

A form included with a check from the insurance company that explains charges and dates they were paid and/or charges that were rejected.

see EOB.

after a claim is filed with a health care company, the health care company sends this statement to the participant showing payment information for each service or supply received under the plan.

Forms sent to patients that explain which procedures and services were given, how much they cost, how much is covered by insurance and how much the patient must pay.

the statement sent to an insured by their health insurance company listing services provided, amount billed, eligible expenses and payment made by the health insurance company.

after you or your doctor submits a claim, Blue Cross and Blue Shield of Illinois will send you an explanation that will give you claims payment information, including the amount paid to the provider and any amount you may owe. If a deductible and/or coinsurance applies, the amount applied to your deductible and out-of-pocket maximum will also be shown.

Itemized statement from your insurance company detailing which services are covered.

A statement provided by the health plan that identifies the services or items payable and/or not payable under the contract, the allowable reimbursement amounts, any deductibles, co-insurance or other adjustments taken and the net amount paid. MAMSI Life and Health Insurance Company (MLH) members typically receive an EOB with a claim reimbursement check or as confirmation that a claim has been paid directly to the physician, health care practitioner or facility. Normally, HMO members do not receive an EOB.

Notification that is sent to members for each claim incurred. The EOB explains how the services were covered.

A statement to Blues subscribers or members that details what services have been paid and what may be owed.

A detailed notification sent to the patient or group member showing procedures, date(s) of service, processing policies, Delta Dental's payment and the amount owed to the dental provider.

A detailed statement sent to an insured that shows each treatment or medication submitted as part of a health insurance claim, an insurer's decision concerning payment of each charge, any amount that is considered as a deductible or a copayment, an explanation of any charge for which part or all of the charge will not be paid, and the total amount sent to a health care provider.

A description, sent to patients by health plans, of benefits received and services for which the health care provider has requested payment.

An itemized receipt that lists the details of payments or denials made by an insurance company or HMO per claim. The formats of these statements vary by insurance company.

A form received from the insurer which explains benefits that were paid and/or charges that were rejected.

After you receive health care under our plan, we'll mail you a written explanation of benefits, or EOB. It will explain what services we paid for and show any amount you are responsible for paying.

A form sent to the member after a claim has been processed by an insurance company. It explains the action taken on the claim. Commonly referred to as an "EOB".

A statement members receive from a Part D prescription drug plan during those months in which the members use their Part D benefits. An EOB includes the following information: the items or services for which payment was made; notice of the member's right to request an itemized statement, appeal and grievance rights, and exception process; year-to-date statement of total Part D benefits provided in relation to deductibles, coverage limits, and annual out-of-pocket thresholds; cumulative year-to-date total of incurred costs; and any applicable formulary changes.

A document sent to an insured when the plan or insurance company handles a claim. The document explains how reimbursement was made or why the claim was not paid. The appeals procedure should be outlined to advise the insured of his/her rights if there is dissatisfaction with the decision.

A statement sent by a health plan to a covered person who files a claim. The explanation of benefits (EOB) lists the services provided, the amount billed, and the payment made. The EOB statement also explains why a claim was or was not paid, and provide information about the individual's rights of appeal.

A statement sent to patients summarizing the payment made by a health plan to a medical provider.

The statement sent to you by your health insurer listing the services you received, the amount it has or will pay to your doctor or hospital, and the amount you must pay as a co-payment.

A statement from the insurance company showing the patient what charges have been filed on behalf of a medical provider, how much the insurance company paid, how much of costs for which the insured is responsible, and any reason the insurance company did not cover particular services performed by the provider.

A statement provided by the health benefits administrator that explains the benefits provided, the allowable reimbursement amounts, any deductibles, coinsurance or other adjustments taken and the net amount paid. A participant typically receives an explanation of benefits with a claim reimbursement check or as confirmation that a claim has been paid directly to the provider.

Paperwork sent by the insurer to the insured listing the cost of treatment, the charges paid by the plan and the remainder to be paid by the individual.

Explanation of Benefits forms are provided to members to explain how the payment amount for a health benefit claim was calculated. Among other things, the Explanation of Benefits may explain the claims appeal process.

The insurance company's written explanation to a claim, showing what they paid and what the client must pay. Sometimes accompanied by a benefits check.

The statement sent to you that explains the services provided, the amount you or your insurer was billed, any payments that were made, and the amount you owe.

A document sent to an insured when a claim is handled by the plan or insurance company. The document explains how reimbursement was made, or why the claim was not paid, and if any additional information is needed. The appeals procedure is also outlined.

the coverage statement sent to covered persons listing services rendered, amount billed and payment made

The statement you receive after you file a claim, or one has been filed on your behalf, with a summary of the action taken on your claim. This statement will show how much of the claim the insurance company has paid and any balance remaining, to be paid by the individual. Note: The EOB will usually include: In boldface, the statement, “ THIS IS NOT A BILL.” A “Claim Number,” which is a handy piece of information to have available if you need to discuss your claim with your insurance company. The report of your “Beneficiary Liability,” which is the dollar-amount that you owe: You can expect to be billed that amount by your doctor, or you might already have paid your portion of the bill at the time of treatment. Instructions for disputing a decision and filing an appeal if you believe that your claim has been incorrectly processed or denied.

This form, included with a check from the insurance carrier, explains to the insured party the benefits that were paid and/or charges that were rejected.