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.

  • The salient point is that all branches and regions saw the preliminary agenda on circulation, and could have noted the SOC’s ‘ non- competent’ ruling against the branch motion.

  • 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.

Related to Explanation of Benefit

  • Coordination of Benefits or “COB” means a provision establishing an order in which plans pay their claims, and permitting secondary plans to reduce their benefits so that the combined benefits of all plans do not exceed total allowable expenses.

  • Schedule of Benefits means the section of this policy which shows, among other things, the Eligibility Requirements, Eligibility Waiting Period, Elimination Period, Amount of Insurance, Minimum Benefit, and Maximum Benefit Period.

  • Death Benefit means the insurance amount payable under the Certificate at death of the Insured, subject to all Certificate provisions dealing with changes in the amount of insurance and reductions or termination for age or retirement. It does not include any amount that is only payable in the event of Accidental Death.

  • Termination Benefit means the benefit set forth in Article 7.

  • Accrued Benefit means the amount standing in a Participant's Account(s) as of any date derived from both Employer contributions and Employee contributions, if any.

  • Disability Benefit means the benefit set forth in Article 8.

  • Public benefit means making capital available, or facilitating the availability of capital, to businesses in this state that have 750 or fewer employees, the intent of which is to create or retain employment opportunities for residents of this state, stabilize or increase the tax base of this state, or support the redevelopment of facilities for use by small businesses.

  • Adoption Agreement means the written agreement pursuant to which the Employer adopts the Plan. The Adoption Agreement is a part of the Plan as applied to the Employer.

  • Plan Benefit means the benefit payable to a Participant as calculated in Article V.

  • Monthly Benefit means the monthly amount payable by Liberty to you if you are Disabled or Partially Disabled.

  • Normal Retirement Benefit means an annual benefit payment in the amount of Sixty Six Thousand Three Hundred and Seventy Three dollars ($66,373) for a period of Fifteen (15) years.

  • Early Retirement Benefit means the retirement benefit payable to a member following early

  • Net Benefits Test means a calculation to determine whether the benefits of a reduction in price resulting from the dispatch of Economic Load Response exceeds the cost to other loads resulting from the billing unit effects of the load reduction, as specified in Operating Agreement, Schedule 1, section 3.3A.4 and the parallel provisions of Tariff, Attachment K-Appendix, section 3.3A.4.