What is an EOB?
When To Expect an EOB
EOBs are usually sent every time you see a health insurance provider. That means each time you visit your:
- Primary care physician
7 Things You Will Find On Your EOB:
- Service Description – A description of the services you received during your visit
2. Provider Charges – These are the fees that you provider bills for your visit
3. Allowed Charges – This is the amount that your provider will be reimbursed
4. Paid By Insurer – how much your insurance plan pays the provider
5. Payee – this is the person who will receive reimbursement for over-paying the claim
6. Insured’s Costs – The costs you are responsible for
7. Remark Code – explanation of costs provided by the insurance plan
Not sure where to find all of this information? Many insurance providers will have samples of their EOB statements that you can refer to so that you understand each section of the document. The majority of health insurance companies provide online access to EOBs. Contact your health insurance company and ask how you can get internet access to your EOB files. It’s a good idea for you to get familiar with the EOB statement provided by your insurance company. It will help you from overpaying providers you see for medical treatment. It can also help you spot errors in any bills you may receive. Let’s face it, mistakes happen – billing codes can be entered incorrectly, system glitches occur, items can be overlooked.
Final thoughts…an EOB can be your BFF when it comes to making sure your medical bills are handled correctly. After all, YOU are in charge of your healthcare which means you have rights – especially fair billing. Take the time to review your EOB and learn how to read it. If you have questions, call the customer service department of your insurance company to get the answers you need so that you can make informed decisions and be proactive when needed.
Do you have questions about your current health care coverage? Reach out! I can help! (813) 391-3448