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.
Chapter2: Introduction To Spreadsheet Modeling
Section: Chapter Questions
Problem 20P: Julie James is opening a lemonade stand. She believes the fixed cost per week of running the stand...
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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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