Explanation of Benefits

An Explanation of Benefits, or EOB, is a paper or electronic document members receive after they see a physician or other health care professional and the claim is processed. The EOB combines claims and patient payment information for members and their covered family in a single statement.

What is the purpose of an EOB?

The EOB is a straightforward way to capture claims information in one place for use in tracking member health care services or expenditures.

What information is on an EOB?

The sample EOB provides an overview of the information members see and what it means.

Members can also view and print their own EOBs anytime when they register or sign in to Member Online Services.