It may include a deductible, coinsurance and/or copay.Į. Allowed Amount: The amount the provider agrees to be paid for a specific service. Amount Billed: The amount charged by the provider for each service on the claim.ĭ. Type of Service: The service or care given to you by the provider.Ĭ. Date of Service: The date you received your care.ī. To learn more, visit “What Happens After My Appointment” at. If you have a question about your benefits or your EOB, sign in to to email your question or chat with us, or give us a call. You can view your EOBs, 24/7, by signing on to or the Horizon Blue app. Wait until you get a bill from your doctor to pay exactly what you owe. Remember: Your EOB is not a bill, so don’t take out your checkbook just yet. It also lists any “Amount Not Covered,” which may be costs billed by your doctor that are not covered by your plan.Īll of these amounts are included in “What You Owe.” This section lists additional information, including other insurance plan payments, if you have other coverage, and how much you are responsible for paying as a copay, coinsurance or deductible. Your EOB also gives you detailed information about your claim. Your EOB gives you an overview of the claim, including who provided the care, how much was billed, how much your plan covered, and how much you may owe. This information is called an “Explanation of Benefits” or EOB. Each time you use your health plan to get care, you’ll get information about the claim your doctor submitted.
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