Explanation of Benefits (EOB)
Insurance Glossary
The statement a health plan sends after processing a claim, showing what the provider charged, what the plan allowed, what the plan paid, and what the patient may owe. It is not a bill, and the patient responsibility line should match what the provider bills separately. It also gives the reason for any denial and explains how to appeal, which is why the deadlines printed on it matter.
This content is for general informational purposes only and is not insurance, legal, or financial advice. Coverage, exclusions, eligibility, and pricing vary by insurer, by policy, and by state, and only the policy documents control what is covered. Always confirm the details of any coverage with a licensed insurance agent or the issuing carrier before you buy.