We use cookies on our site to analyze traffic, enhance your experience, and provide you with tailored content.

For more information visit our privacy policy.

Explanation of Benefit definition

Explanation of Benefit means a statement issued by a carrier that indicates services rendered and financial responsibilities for the carrier and Insure Oklahoma/O-EPIC member.
Sample 1Sample 2Sample 3
Explanation of Benefit. (EOB) is a periodic summary Statement of Plan and Participant paid amounts sent to Participants.
Sample 1Sample 2Sample 3

Examples of Explanation of Benefit in a sentence

  • If you have questions about an Explanation of Benefit Determination, you may contact Customer Service (Telephone toll free (800) 238-8379, or write Arkansas Blue Cross and Blue Shield, Customer Service, Post Office Box 2181, Little Rock, Arkansas 72203) and ask that the determination be reviewed.

  • The Contractor must update the on-line provider network information every two (2) weeks, at a minimum;  The Contractor’s contact information for member inquiries, member grievances and appeals;  The Contractor’s member services phone number, TDD number, hours of operation and after-hours access numbers, including the 24-hour Nurse Call Line;  A member portal with access to electronic Explanation of Benefit (EOB) statements.

  • In providing the required POWER Account balance information, the Contractor may combine the information with the Explanation of Benefit (EOB) information required in Section 7.4.5 below.

  • Explanation of Benefit (EOB) codes listed throughout the Remittance Advice is defined in this section.EOB Code DescriptionsAny Explanation of Benefit Codes (EOB) which appear in the RA are defined in this section.

  • An Explanation of Benefit (EOB) from the employee’s health plan administrator showing wellness services received by the employee will also be an accepted form of proof of services.

  • You must log in and then you will have access to claim status and claim payment or Explanation of Benefit information.

  • Please send a copy of Explanation of Benefit statements from the other insurance company for the claim you are submitting (i.e., Medicare, Health, Auto or Workman’s Comp).

  • After the claim has been paid by the primary plan, send a copy of that Explanation of Benefit (EOB) with any claims you submit to the Claims Administrator.Step 4: Submit FormMost network providers will file claims for you.

  • You must also provide all applicable Explanation of Benefit statements.

  • These types of services can include:• Bills and attempts to collect payment• A Notice of Adverse Benefit Determination(s)• An Explanation of Benefit notice(s)• A Plan’s request for additional information regarding a claim• A notice of a contested claim• The name and address of a provider, description of services received, and other information related to a visit.• Any verbal, written or electronic communications from the Plan that contain protected health information.

Related to Explanation of Benefit

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Assignment of Benefits means an arrangement whereby the Plan Participant assigns their right to seek and receive payment of eligible Plan benefits, in strict accordance with the terms of this Plan Document, to a Provider. If a provider accepts said arrangement, Providers’ rights to receive Plan benefits are equal to those of a Plan Participant, and are limited by the terms of this Plan Document. A Provider that accepts this arrangement indicates acceptance of an “Assignment of Benefits” as consideration in full for services, supplies, and/or treatment rendered.

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Net death benefit means the amount of the life insurance policy or certificate to be settled less any outstanding debts or liens.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Retirement Benefit means the benefit set forth in Article 5.

  • Termination Benefit means the benefit set forth in Article 7.

  • Lump Sum means the total sum which will have become payable to the Contractor by the Principal upon completion of the Works.

  • Accrued Benefit means the amount standing in a Participant's Account(s) as of any date derived from both Employer contributions and Employee contributions, if any.

  • Disability Benefit means the benefit set forth in Article 8.

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Adoption Agreement means the written agreement pursuant to which the Employer adopts the Plan. The Adoption Agreement is a part of the Plan as applied to the Employer.

  • Pre-Retirement Survivor Benefit means the benefit set forth in Article 6.

  • Retirement Benefits means benefits paid by reference to reaching, or the expectation of reaching, retirement or, where they are supplementary to those benefits and provided on an ancillary basis, in the form of payments on death, disability, or cessation of employment or in the form of support payments or services in case of sickness, indigence or death. In order to facilitate financial security in retirement, these benefits may take the form of payments for life, payments made for a temporary period, a lump sum, or any combination thereof;

  • Plan Benefit means the benefit payable to a Participant as calculated in Article V.

  • Deferral Agreement means the annual written agreement between the Funds and the Participant to defer Compensation under the Plan.

  • Supplemental Retirement Benefit means the benefit determined under Article V of this Plan.

  • Monthly Benefit means the monthly amount payable by Lincoln to you if you are Disabled or Partially Disabled.

  • Supplemental Benefit means the monthly benefit payable to the Executive under this Agreement.

  • SERP Benefit means the benefit described in Section 5.1.

  • Normal Retirement Benefit means the benefit described in Section 2.1.

  • Qualified Preretirement Survivor Annuity means an annuity which is payable for the life of the Participant's surviving spouse.

  • Early Retirement Benefit means the retirement benefit payable to a member following early

  • Net Benefits Test means a calculation to determine whether the benefits of a reduction in price resulting from the dispatch of Economic Load Response exceeds the cost to other loads resulting from the billing unit effects of the load reduction, as specified in Operating Agreement, Schedule 1, section 3.3A.4 and the parallel provisions of Tariff, Attachment K-Appendix, section 3.3A.4.

  • Optional Deferral Provision means, as to any Qualifying Capital Securities, a provision in the terms thereof or of the related transaction agreements to the effect that:

  • Change in Control Benefit means the benefit set forth in Section 4.1 below.

Most Referenced Clauses

Most Referenced Definitions