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Explanation Of Benefits (EOB)

Your Explanation of Benefits (EOB) is a statement that describes how your health benefits cover services received, including:

  • what services we (the plan) pay
  • what you (the member) pays
  • what services we don't cover and why

For every claim filed, we generate an EOB.  The EOB is not a bill.  Your provider will send you a bill for any amounts owed. 

 

Tour the EOB

Familiarize yourself with the EOB using our convenient tool:

You place your cursor over various areas of the sample EOB and a brief description of the information presented appears.

 

 Features of NEW EOB include:

  • Shortened, simplified format
  • Ability to view your EOBs electronically via the secure Member Resource Center
  • Distribution of EOB at the patient/member level—this means the EOB goes to the individual who received the service