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Explanation of Benefits

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What is an Itemized Medical Bill?

An itemized medical billing statement from a medical provider will include the provider’s name, phone number, date of services, and a list of tests or procedures performed on the day of service.

The submitted billing statement must have this information to receive navces Incentive Rewards.

You can request copies of your itemized medical billing statement from your medical provider by contacting their offices directly and making a request.

If you are unable to provide an itemized medical billing statement, you can send your Insurance company’s Explanation of Benefits which is sent to your address on file following the date of your medical services.

EXPLANTION OF BENEFITS,
THIS IS NOT A BILL

EXPLANTION OF BENEFITS,
THIS IS NOT A BILL

Making Sense of Your EOB

When your insurance company processes your claim, they will send you an explanation of
benefits (EOB) detailing what procedures they covered and paid. The most important thing
to know about the EOB is that this is NOT a bill.

When your insurance company processes your claim, they will send you an explanation of benefits (EOB) detailing what procedures they covered and paid. The most important thing to know about the EOB is that this is NOT a bill.

  • 1 Your name or the insured person’s name and
    address.
  • 2 Your insurance information, such as member ID, group ID,
    and group name.
  • 3 Details about who the patient was, when services were
    received, what type of services they were, claim
    information, and provider information.
  • 4 Details about the services you received, including but not
    limited to the date services were provided, the amount your
    insurance company paid the healthcare provider for those
    services, any discounts or reductions granted by the
    insurance company, your deductible and co-payments
    amounts, and any amounts not covered by insurance.
  • 5 The total amount of benefits in the claim.
  • 6 The total amount your insurance company is responsible
    for paying.
  • 7 The total of how much you MAY owe,
    including your co-payments, deductibles,
    co-insurance, and any amounts not covered by insurance.
  • 1 Your name or the insured
    person’s name and address.
  • 2 Your insurance information, such as
    member ID, group ID, and group
    name.
  • 3 Details about who the patient was,
    when services were received, what
    type of services they were, claim
    information, and provider
    information.
  • 4 Details about the services you
    received, including but not limited
    to the date services were provided,
    the amount your insurance
    company paid the healthcare
    provider for those services, any
    discounts or reductions granted by
    the insurance company, your
    deductible and co-payments
    amounts, and any amounts not
    covered by insurance.
  • 5 The total amount of benefits in the
    claim.
  • 6 The total amount your insurance
    company is responsible for paying.
  • 7 The total of how much you MAY
    owe, including your co-payments,
    deductibles, co-insurance, and any
    amounts not covered by insurance.

The EOB may also include year-to-date totals for your deductibles and co-insurance.