explanation of benefits


Also found in: Acronyms.

ex·plan·a·tion of ben·e·fits

(EOB) (eks'plă-nā'shŭn ben'ĕ-fits)
The report from an insurance carrier that explains benefits, deductibles, copayment responsibilities, and reasons for noncoverage of claims.

explanation of benefits,

n a written statement to a beneficiary, from a third-party payer, after a claim has been reported, indicating the benefits and charges covered or not covered by the dental benefits plan.
References in periodicals archive ?
Yesterday I got the explanation of benefits from our health plan.
The division oversees patient billing and registration and manages such documents as explanation of benefits (EOBs), HIPAA notifications and copies of patient insurance cards, photo IDS, etc.
ProxyMed and First Data will allow health care providers and insurance companies to convert existing paper-based checks and explanation of benefits into HIPAA-compliant electronic ERAs with electronic funds transfer.
My experiences in the early 1980s led me to the conclusion that there was something we, as legislators, weren't fully grasping: Why weren't we requiring explanation of benefits forms to be distributed to all Medicaid clients?
they are clarity, simplicity, and an explanation of benefits.
I've reviewed each Explanation of Benefits Statement (EOBS) you sent.
This alerts CHAMPUS claims processors to look for the required attachments, including an explanation of benefits coverage from the primary carrier and a copy of the itemized bill, in order to approve the claim.
Potential future applications of the patented technology could include, for example, explanation of benefits (EOBs) forms.
2 includes the capture of Explanation of Benefits and Coordination of Benefit documents, exception handling workflows, an examiner interface and a biller self-service portal to facilitate the resolution of billing issues.
Customization of CheckPlusCFO allows easy utilization of automated Explanation of Benefits (EOB).
These include the major types of commercial and government health insurance, the revenue cycle, explanation of benefits, coding, and regulations.