Explanation of Benefits (EOB) or Remittance Advice – In many cases these terms are used interchangeably; however, they are different. The Explanation of Benefits is sent to a patient that explains how the insurance processed their services rendered, what was paid or not paid to the provider, and what the patient owes. The Remittance Advice provides information to the healthcare facility or office on whether they need to appeal the claims processing or accept the processing as received. Review the Explanation of Benefits (EOB) from Cigna and CMS
Explanation of Benefits (EOB) or Remittance Advice – In many cases these terms are used interchangeably; however, they are different. The Explanation of Benefits is sent to a patient that explains how the insurance processed their services rendered, what was paid or not paid to the provider, and what the patient owes. The Remittance Advice provides information to the healthcare facility or office on whether they need to appeal the claims processing or accept the processing as received. Review the Explanation of Benefits (EOB) from Cigna and CMS
Practical Management Science
6th Edition
ISBN:9781337406659
Author:WINSTON, Wayne L.
Publisher:WINSTON, Wayne L.
Chapter9: Decision Making Under Uncertainty
Section: Chapter Questions
Problem 37P
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Explanation of Benefits (EOB) or Remittance Advice – In many cases these terms are used interchangeably; however, they are different. The Explanation of Benefits is sent to a patient that explains how the insurance processed their services rendered, what was paid or not paid to the provider, and what the patient owes. The Remittance Advice provides information to the healthcare facility or office on whether they need to appeal the claims processing or accept the processing as received.
Review the Explanation of Benefits (EOB) from Cigna and CMS
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