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 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.”
Examples of Explanation of Benefits in a sentence
In all cases where the PAYOR is the secondary PAYOR, the PROVIDER shall submit an Explanation of Benefits (EOB) from the primary insurance coverage carrier along with the claim for service reimbursement to the PAYOR.
More Definitions of Explanation of Benefits
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 means a form provided by a carrier that explains the amounts covered
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 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. ’ means the statement sent to a patient or provider, or both, in a health plan that lists:
Explanation of Benefits means any form provided by any insurer that explains the amounts covered under a policy or plan and shows the amounts payable by a covered person to a health care provider.
Explanation of Benefits means a computer‐generated statement from Delta Dental that You will receive after We process a Claim for You or Your Covered Dependents describing how Delta Dental determined Your Benefit for the Dental Services submitted on the Claim.