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EXPLANATION OF BENEFITS Healthcare Benefit Solutions, Inc. EMPLOYEE: ADAM A CORNELL PATIENT: ADAM PATIENT DOB: 05/14/1975 PATIENT ACCT: 5555555 BEV1 04/02 REV 01/12 Provider/Date of Service Type of
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Explanation of benefits is a statement sent by a health insurance company to its members explaining what medical treatments and services were paid for on their behalf.
Health insurance companies are required to file explanation of benefits for their members.
Explanation of benefits can be filled out by the health insurance company based on the claims submitted by healthcare providers.
The purpose of explanation of benefits is to inform members about the healthcare services covered by their insurance and the amount paid by the insurance company.
Explanation of benefits must include details of the medical services provided, the amount billed, the amount covered by insurance, and any out-of-pocket costs for the member.
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