EOB meaning in Healthcare ?

Answer:

What is Explanation of Benefits mean?

An explanation of benefits (commonly referred to as an EOB form) 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.

The EOB is commonly attached to a check or statement of electronic payment.

An EOB typically describes:

the payee, the payer and the patientthe service performed—the date of the service, the description and/or insurer's code for the service, the name of the person or place that provided the service, and the name of the patientthe doctor's fee, and what the insurer allows—the amount initially claimed by the doctor or hospital, minus any reductions applied by the insurerthe amount the patient is responsible foradjustment reasons, adjustment codes

EOB documents are protected health information.

Electronic EOB documents are called edi 835 5010 files.

There will normally also be at least a brief explanation of any claims that were denied, along with a point to start an appeal.

A member with secondary insurance gives such information to the provider for the next bill to go out to that insurance company. Generally, secondary insurance pays only the amount the EOB says the member is responsible for. Secondary EOBs show if the patient still has any responsibility to the provider. After the member's insurances have processed the claim, the provider bills the member for the remaining balance, if any.

reference

Full Form	Category
Executive Office Building	Academic & Science
End Of Business	Business
Education and Office Building	Community
End of Block	Computer and Networking
End Of Buffer	Computing
Explanations of Benefits	General
Example Of The Believers	General
Enterprise Object Broker	General
End of Bombardment	General
Evaluation Of Blocks	General
ExplanaƟon of Benefits	General
Eye of the Beholder	General
End Of Boil	General
Effective One Body	General
Economic Opportunity Board	Governmental
Elections And Opinions Board	Governmental
Explanation of Benefits	Healthcare
Electronic Order of Battle	Military and Defence
Enemy Order of Battle	Military and Defence