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.
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Explanation of Benefit. (EOB) is a periodic summary Statement of Plan and Participant paid amounts sent to Participants.
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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.

  • 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.

  • You will receive a payment Explanation of Benefit worksheet (EOB) from your other carrier.

  • If you have questions about an Explanation of Benefit Determination, you may contact Customer Service (Telephone (501) 378-2072 or toll free (800) 421-1112, 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.

  • If you have questions about an Explanation of Benefit Determination, you may contact Customer Service (Telephone toll free (800) 843-1329, or write Health Advantage, Customer Service, Post Office Box 8069, Little Rock, Arkansas 72203) and ask that the determination be reviewed.

  • This is not required for dental, vision or hearing services.If the patient has other health insurance that has processed the service, be sure you include the Explanation of Benefit statement that was sent explaining the charges paid or not paid.Make copies of the original receipts for your files before submitting the original.

  • 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.

  • You understand and agree that your failure to respond to inquiries from the Company or failure to cooperate fully to obtain information requested by the Company from your Physician or other health care Provider shall be, by itself, grounds for denial of benefits under the Plan.6. Explanation of Benefit Determination.

  • Health related appeals will require Explanation of Benefit (EOB) statements from your insurance company; credit card receipts do not detail the necessary information.