Explanation of Benefits (EOBs) - Explained
Edited


An Explanation of Benefits tells you how much of your hospital bill your insurance plan will cover, and how much you're responsible for paying.

Your explanation of benefits comes from your insurance provider, and tells you the outstanding amount you’re responsible for paying after insurance adjustments and discounts. 

It breaks down in-network and out-of-network costs, how much your insurer covered for each, as well as what portion of your out-of-pocket expenses count towards your annual deductible.

Goodbill reviews your Explanation of Benefits to understand your outstanding patient responsibility after insurance. We also look for opportunities to strengthen your hospital bill negotiation, for example by comparing the charges under your plan to other scenarios that might have produced more savings, like being uninsured or insured under a different provider. 

Usually, your insurance will send you a copy of your EOB in the mail within 30 days of your visit, but it should also be available through your online account.   If you can log into your insurer's website, then it should be available in areas such as "My Documents" or "Claims".   If you can't find it online, your insurer will be able to send you a copy if you call them directly.