Explanation of Benefits (EOB)

Also called: EOB

An explanation of benefits is the statement your plan sends after processing a claim, showing the amount billed, the allowed amount, what the plan paid, and what you may owe. It is not a bill, but it tells you whether a claim was paid or denied and why. Reading the EOB carefully is usually the first step in spotting an error worth appealing.

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Disclaimer: This definition is provided for general educational purposes only and is not legal, medical, or insurance advice. Insurance rules, deadlines, and terminology vary by plan, state, and over time. Always check your own plan documents and confirm current details before acting.