Table of Contents
What is an example of EOB?
It’s calculated as a percentage of the allowed amount. For example: If your coinsurance is 20%, you’d pay $20 if the allowed amount is $100. A fixed amount (for example, $15) you pay for a covered health care service, usually when you get the service.
How does BCBS read EOB?
How do I read an EOB?
- The name of the person who received services (you or a family member your plan covers)
- The claim number, group name and number, and patient ID.
- The doctor, hospital or other health care professional that provided services.
- Dates of services and the charges.
What details does EOB contain?
The explanation of benefits (EOB) details the charges for the healthcare services received, the amount the health insurance company will pay for those services, and the amount the insured person will be responsible for paying.
Does Blue Shield send EOB?
Your EOB usually arrives four to six weeks after the claim has been submitted to Blue Shield. It contains the name of your doctor, the amount billed, the claim number and the date of service. If you don’t have your EOB handy, the more details you do have available, the faster your service will be.
Do prescriptions show up on EOB?
The first section of your EOB lists the prescriptions you filled during the previous month, the amount you paid and any amount paid by other programs or organizations, such as Extra Help.
How do I read my insurance EOB?
How to read your EOB
- Provider—The name of the doctor or specialist who provided the service.
- Service/Procedure—The type of service you received.
- Total Cost—The amount we pay for the service.
- Not Covered—The amount of the service not covered (this usually only occurs if the service is denied).
What is not included in an EOB?
Amount not covered: What costs your health plan did not cover. Amount that may have been paid from spending accounts, such as a health reimbursement account (HRA), if applicable. Any outstanding amount you are responsible for paying.
What are 3 figures that are commonly depicted on an EOB?
the payee, the payer and the patient. the service performed—the date of the service, the description and/or insurer’s code for the service, the name of the person or place that provided the service, and the name of the patient.
How do I get Explanation of Benefits?
After you visit your provider, you may receive an Explanations of Benefits (EOB) from your insurer. This is an overview of the total charges for your visit and how much you and your health plan will have to pay. An EOB is NOT A BILL and helps to make sure that only you and your family are using your coverage.