Get the free Explanation of Benefits

This document details your recent health benefit claims, including payments made by Medical Mutual, the total you are responsible for, and guidance on understanding your health coverage.

How to fill out explanation of benefits

How to fill out Explanation of Benefits

1. Gather your medical bills and insurance information.
2. Review the Explanation of Benefits (EOB) provided by your insurance company.
3. Locate the patient and provider information on the EOB.
4. Check the dates of service and the services rendered.
5. Verify the billed amount against what the provider billed your insurance.
6. Review the amount covered by insurance and any adjustments made.
7. Check your deductible, copay, and coinsurance amounts.
8. Note any remaining balance you may owe to the provider.
9. Keep the EOB for your financial records and any future correspondence.

Who needs Explanation of Benefits?

1. Individuals who have had medical services covered by insurance.
2. Patients who want to understand their healthcare costs and insurance coverage.
3. Healthcare providers needing to reconcile payments received from insurance companies.

People Also Ask about

What is the EOB in finance?

An explanation of benefits, or EOB, is a document you receive from your insurance after a provider has filed a claim. Your EOB outlines what your plan covers and what you owe for services. An EOB is not a bill, but rather an explanation of the services provided and how the cost is split between you and your insurer.

What does EOB mean?

An explanation of benefits (EOB) shows you the total charges for your visit. An explanation of benefits isn't a bill. It helps you understand how much your health plan covers, and what you'll pay when you get a bill from your provider.

What is the meaning of explanation of benefits?

An explanation of benefits (EOB) is an insurance company's statement that describes the costs involved for visits to your doctor or clinic.

What does this is not a bill mean?

Every time you go to a doctor or get other health services, your insurance company will send you an Explanation of Benefits (EOB) form. This is the insurance company's way of letting you know they are processing the payment. It will say on it “This is not a bill” and that is true. You may get a bill later, though.

What is the explanation of benefits?

An explanation of benefits (EOB) shows you the total charges for your visit. An explanation of benefits isn't a bill. It helps you understand how much your health plan covers, and what you'll pay when you get a bill from your provider.

How to get an explanation of benefits?

EOBs are usually mailed once per month. Some plans give you the option of accessing your EOB online. Your EOB is a summary of the services and items you have received and how much you may owe for them. It tells you how much your provider billed, the approved amount.

How do you spell explanation of benefits?

An explanation of benefits usually includes the date the patient received the service, how much the service cost, how much the health insurance plan paid, and how much the patient may need to pay the health care provider. Also called EOB.

For pdfFiller’s FAQs

What is Explanation of Benefits?

An Explanation of Benefits (EOB) is a document provided by insurance companies to explain what medical treatments and services were billed, how much the insurance plan will pay, and what the insured person owes the healthcare provider.

Who is required to file Explanation of Benefits?

Typically, healthcare providers submit claims for services rendered to the insurance company, and the insurance company issues the EOB to the insured individual, not requiring the individual to file it themselves.

How to fill out Explanation of Benefits?

Individuals do not fill out an EOB; rather, it is filled out by the insurance provider. However, they should carefully review the EOB for accuracy, checking billed services, payments made by the insurance, and the patient's financial responsibility.

What is the purpose of Explanation of Benefits?

The purpose of an EOB is to provide transparency to insured individuals about the services they received, the payment decisions made by their insurance plan, and any remaining balances that the insured owes.

What information must be reported on Explanation of Benefits?

An EOB generally includes the patient's name, the date of service, a description of the medical services provided, the amount billed, the amount covered by insurance, any co-payment or deductible amounts due, and the total amount the patient is responsible for paying.