Get the free How to Read Your Explanation of Benefits (EOB) - Tufts Health Plan

How to Read Your Explanation of Benefits (EOB) Your EOB is a statement that shows what health services you received, what bills your health plan paid, and what you may still owe to a health care provider.

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People Also Ask about

What is the Tufts explanation of benefits?

Your EOB shows you the costs for any medical services you received from the previous month, but it's not a bill. You don't need to send any payments or take any action. It helps you track your medical costs and shows you how expenses are divided between your doctor, your health plan, and your copay.

What is the EOB Explanation of Benefits?

You may receive an EOB from your health plan after your visit with the provider. It will show you the total charges for your visit and how much you and your health plan owe. An EOB is NOT A BILL. You can also use it to track how you and your family use your coverage.

How do you understand explanation of benefits?

How do you read an EOB? Your patient details. The medical services you received and from who. Amount billed–cost of those services. Discounts–any money you saved by accessing care or medical products from within your plan's network of providers. Amount paid by your health insurance plan.

How do you read an EOB explanation of benefits?

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 is the explanation of benefits code?

An Explanation of Benefits (EOB) code corresponds to a printed message about the status or action taken on a claim. Providers will find a list of all EOB codes used with the corresponding description on the last page of the Remittance Advice.

What key areas do you look at on the EOB and why?

Important information outlined in your EOB includes: What medical services or products your health care provider performed or prescribed. How much your provider charged for those services or products. What amount your plan will pay for those services or products.

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