Insurance and billing

Explanation of benefits

Also called EOB

A statement from the insurer showing what a claim cost, what it paid and what the patient owes.

An explanation of benefits is the document an insurance company sends after it processes a claim. It lists the services billed, the amount the plan allowed, what it paid, what was applied to the deductible, and what the patient may owe. It is not a bill. Offices use the dental plan's version, often called an EOB or remittance, to post payments and adjustments to the right accounts. When numbers differ from the estimate, the EOB is the first place to look.

Example at the front desk

The EOB shows the plan allowed less than our fee, so I posted the difference as a write-off.

Sources

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