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Explanation of Medical vs. Routine FAX 614.451.8642 PHONE 614.451.7550 northwesteyesurgeons.com Please complete each area. Fields marked with an asterisk* are required. TODAYS DATE* FIRST NAME* LAST
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Begin by clearly identifying the purpose of the explanation of medical vs. Are you explaining the differences between different medical procedures, treatments, or options? Or are you comparing medical conditions or drugs? Having a clear understanding of the objective will help you structure your explanation effectively.
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Explanation of Medical Benefits (EOB) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf.
Explanation of Medical Benefits is typically filed by the health insurance company on behalf of the covered individual.
To fill out an Explanation of Medical Benefits, individuals can review the statement provided by their health insurance company and ensure that all information regarding medical treatments and services are accurate.
The purpose of Explanation of Medical Benefits is to inform covered individuals about the medical treatments and services that were paid for by their health insurance company.
Information reported on Explanation of Medical Benefits typically includes the date of service, the healthcare provider, the type of service provided, the amount billed, the amount paid by the insurance company, and any remaining balance.
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