Explanation of Benefits definition

Explanation of Benefits means a statement a health plan sends to a Participant which shows charges, payments and any balances owed. It may be sent by mail or e-mail. An Explanation of Benefits may serve as an Adverse Benefit Determination.

Explanation of Benefits means claim processing advice or notification of action on claims.

Explanation of Benefits means a form provided by a carrier that explains the amounts covered

Examples of Explanation of Benefits in a sentence

• This summary report is called the Part D Explanation of Benefits (or the “Part D EOB”).

• This summary report is called the Part D Explanation of Benefits (or the “Part D EOB”).The Part D Explanation of Benefits tells you the total amount you, or others on your behalf, have spent on your Part D prescription drugs and the total amount we have paid for each of your Part D prescription drugs during the month.

• Chapter 6 (What you pay for your Part D prescription drugs) gives more information about the Part D Explanation of Benefits and how it can help you keep track of your drug coverage.A Part D Explanation of Benefits summary is also available upon request.

• A Part D Explanation of Benefits summary is also available upon request.

• The Part D Explanation of Benefits tells you the total amount you, or others on your behalf, have spent on your Part D prescription drugs and the total amount we have paid for each of your Part D prescription drugs during the month.

More Definitions of Explanation of Benefits

Explanation of Benefits or “EOB” means a statement to a Beneficiary providing details about a Provider Payment made on a Provider Claim, and explaining what portion of services were paid by the Benefits Plan and the portion the Beneficiary is responsible for paying.

Explanation of Benefits means a computer-generated statement from Delta Dental that You will receive after We process a Claim for You or a Covered Person describing how Delta Dental determined the Benefit for the Dental Services submitted on the Claim or telling You the information Delta Dental requires before a Benefit determination can be made.”

Explanation of Benefits means a statement a health plan sends to a Covered Person which shows charges, payments and any balances owed. It may be sent by mail or e-mail. An Explanation of Benefits may serve as an Adverse Benefit Determination.

Explanation of Benefits means the document that lists benefits paid and/or denied for claims submitted to the insurance carrier (commonly referred to as “EOBs”);

Explanation of Benefits or "EOB" means a statement sent to covered individuals explaining what medical treatments and/or services were paid on their behalf.

Explanation of Benefits or “EOB” means a document a carrier issues to a covered person in response to the submission of a claim for services or supplies under a health benefits plan. The EOB identifies both the billed and allowed charges and explains whether services and supplies are covered, the application of cost sharing, the amount paid by the plan, and the reason(s) for any denials or reductions in the benefits paid.

Explanation of Benefits. (EOB) means explanation of benefits used by an insurance carrier to explain the payment or denial of services for an individual insured.