Understanding 3rd Party EOB’s FAQS Q: When reviewing my EOB, I saw that on most of the lines of service the carrier did not pay the full amount stating that a provider discount was applied. There was one line however, that was paid in full. Why? A: The provider discount applies if the amount you…
The Anatomy of an EOB
Download Support Tool Whether the item that is returned from a payer includes a payment, is electronic, or even a denial or processing toward a deductible, everything you should need to know is found in the Explanation of Benefits (EOB). This very helpful tool provides an example of an EOB with many different notes and…
Personal Injury & Workers’ Compensation EOBs – A Closer Look
Personal Injury and Workers’ Compensation EOB’s may look different from state to state. Some of the information on the EOB will differ from other payers. This brief training outlines what PI and WC EOBs look like, and what to look out for when posting them. Because these cases sometimes involve other liability, after posting payments…
Reading a Medicare Remittance Advice
Reading a Medicare Remittance Advice has some important information that will help the office post Medicare payments and collect the correct reimbursement from the patient. With the MRA, you will be also able to see if the patient has a secondary insurance that Medicare automatically crosses over to the patient’s secondary insurance. This brief training…
Reading a Major Medical EOB
Explanation Of Benefits (EOB) and Electronic Remittance Advices (ERA) are formatted differently for each insurance carrier, but the information they provide is the same. Armed with this important information, we can properly post payments and zero pays, as well as assign patient responsibility. The EOB allows the financial department team to locate information about the…
FAQ-3rd Party Payment
3rd Party Payment FAQs Q: We received an EOB showing an insurance payment to post, but they did not include a paper check. We called them to check the status of the payment, and they said that the claim was paid. Where is our money? A: There are a number of possibilities. Look at the…