Glossary term
EOB (explanation of benefits)
Short answer
An EOB, or explanation of benefits, is the statement a payer issues after processing a claim. It shows the billed charges, the allowed amount, what the plan paid, any adjustments with reason codes, and the patient’s share. Providers receive EOBs on paper, as PDFs, or through payer portals, and use them to post payments.
Who receives an EOB?
Payers send EOBs to both patients and providers. The provider version usually covers multiple claims in one payment, while the patient version explains a single claim and what the patient may owe.
Why is EOB posting time-consuming?
EOB layouts differ by payer, and many arrive as paper or scanned PDFs. Someone has to read each line, match it to the right claim, and enter payments and adjustments into the billing system.
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