A summary of the costs of a medical treatment or other healthcare service that an insurance company may send to a patient after the patient has received the service. An explanation of benefits usually [..]

A document sent to an insured when the plan or insurance company processes a claim. The document explains how reimbursement was made, or why the claim was not paid, and if any additional information is needed to have the claim reconsidered. The appeals procedure should be outlined to advise the insured of his/her rights if there is dissatisfaction [..]

A statement sent from the health insurance company to a member listing services that were billed by a healthcare provider, how those charges were processed, and the total amount of patient responsibil [..]

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.

Statement sent by the health plan explaining what medical treatments and/or services were paid. 

A statement you get after you go to the doctor or hospital that lists the health care treatment you got. It shows the amount the doctor charged, how much we paid and what you’ll be billed based on you [..]

A statement sent by a health plan to a covered individual explaining what medical treatment and/or services were paid for on their behalf.

Explanation of Benefits (EOB) is a form, a statement, or document send to the subscriber by the insurance company explaining the action like what medical treatment or services were provided, amount to [..]

This is a statement a health plan sends to a health plan member. It shows charges, payments and any balances owed. It may be sent by mail or e-mail.

A statement sent to subscribers by the insurance company explaining how the payment amount for a dental benefit claim was calculated. The statement outlines the procedures covered by the subscriber’s [..]

The EOB details how the claim was processed and indicates the portion of the claim already paid to the dentist and the portion of the claim that is the responsibility of the insured (if applicable). The EOB is not a bill.

An explanation of benefits is a statement mailed to an insured person noting how a claim was paid or why it wasn't covered. Medicare recipients receive a Medicare Summary Notice (MSN).

A statement from the insurer sent to a group plan member giving details about a submitted claim. The EOB summarizes the charges submitted, the amount deducted, the amount allowed, the amount paid and [..]

This is a statement your health insurance company sends you after you receive medical services.  It shows what the medical provider charged for the visit and services, what your insurer allowed and paid, and what you may owe out-of-pocket.

The insurance company’s written explanation to a claim, showing what they paid and what the client must pay.

A document attached to a processed medical claim wherein the insurance company explains the services they will cover for a patient’s healthcare treatments. EOBs may also explain what is wrong with a claim if it’s denied.

A statement sent by an insurance company to a covered member showing dates of service, billed charges and allowed amounts paid on a medical claim.

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. F Formulary: See "Drug Formulary." G Generic Drug: A drug that is the pharmaceutical equivalent to a brand name drug. The Food and Drug Administration has appro [..]

A form that explains how the payment amount for a health benefit/health insurance claim was calculated. It also may explain the claims appeal process and provide other information.

An EOB is created after a claim payment has been processed by your health care plan. It explains the actions taken on a claim such as the amount that will be paid, the benefit available, reasons for d [..]

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

An Explanation of Benefits is a document provided by the insurance company that tells how a claim was processed. It also explains why a claim was or was not paid, and what portion the patient is respo [..]

Statement sent by a health plan that details the charges for the service(s) received, the covered service(s), the plan’s allowable charge(s) for the covered service(s), the amount the health plan pays for the service(s) and the amount(s) the member is responsible for paying.

The statement you receive from the insurance company showing the services, amounts paid by the plan and total for which you are being billed.

A statement from your health plan that shows the amounts it paid for medical services on your behalf and the amount you owe your health care provider. For health plans that include prescription drug c [..]

An insurance statement notifying members/enrollees each time a dental claim is processed.

the insurance company’s explanation of its decision regarding your claim.

An EOB is created after a claim payment has been processed by your health care plan. It explains the actions taken on a claim such as the amount that will be paid, the benefit available, reasons for d [..]

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

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 must [..]

An industry term for the notice that enrollees receive after a claim is processed. The EOB provides information about the fees charged, what procedures were provided, and the enrollee’s payment portio [..]

A statement issued by a commercial insurance provider to the policyholder indicating medical services that were paid on behalf of the policyholder or any of the individuals covered on his/her policy.

The notice you receive from your insurance company after getting medical services from a doctor or hospital. It tells you what was billed, the payment amount approved by your insurance, the amount pai [..]

A summary of a medical care claim. The EOB shows the service rendered; the provider’s charge, the insurer’s negotiated or allowable charge, how much the insurance company has paid and any balance you must pay. It also includes an explanation of any denial, reduction, or other reason for not providing full reimbursement for the amount claimed; and i [..]

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

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. GGeneric Drug: A "twin" to a "brand name drug" once the brand name company's patent has run out and other drug companies are allowed to sell a duplicate of the original [..]

A statement that outlines what services were rendered, how much the insurer paid, and how much the insured was billed.