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explanation of benefits

   Also found in: Acronyms 0.01 sec.
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.


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If you're receiving Explanation of Benefits statements but haven't received medical treatment recently, check with your insurer.
Maves also said in the letter that physicians nationwide are reporting receiving Aetna Explanation of Benefits (EOB) forms stating that the patient has no obligation to pay the nonparticipating physician the difference between the physician's charge and the amount Aetna has paid.
If you believe that you are a victim of medical identity theft, it is imperative that you review all medical billings, statements and explanation of benefits to evaluate if any of these services have charged you for medical attention or services that you did not receive, office visits you did not make or medical equipment and supplies that you did not receive.
 
 
 
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