EOB - Explaination of Benefits

What is EOB and its Sample

Definition of EOB (Explaination of benefits)

Explanation of Benefits or EOB is the detailed statement of the carrier’s determination of the claims processed. The determination can result in a payment or a denial.

The Explanation of Benefits contains the following information:

- Name of the payer
- Name of the provider
- Pay-to address
- Name of the patient
- Name of the member
- Member id #,
- date of service
- procedure code
- Billed Amount
- Amount allowed
- co-insurance, deductible
- amount paid by the payer. (the amount paid by the payer is equal to the amount shown by the check. )

Sample of EOB:





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