CARD Q070
A member receives an EOB showing billed charges, allowed charges, and plan payments. What is the EOB?
- A notice guaranteeing payment for future related treatment
- An invoice requesting payment of the insurer’s share
- A statement explaining how a claim was processed
- A receipt confirming the patient paid the balance
A statement explaining how a claim was processed
An EOB explains claim processing and possible member responsibility. It is not itself a provider bill.
Why each choice is right or wrong
A. A notice guaranteeing payment for future related treatment
Incorrect. An EOB reports claim processing rather than guaranteeing future care.
B. An invoice requesting payment of the insurer’s share
Incorrect. It is not an invoice asking the member to pay the insurer’s share.
C. A statement explaining how a claim was processed
Correct. An EOB explains claim processing and possible member responsibility. It is not itself a provider bill.
D. A receipt confirming the patient paid the balance
Incorrect. It does not establish that the patient already paid the provider.
Review the related terms
Use these lessons to revisit the concepts and try additional practice questions.