What is the name of the insurance statement that shows the amount invoiced to a patient, the amount authorized, the amount paid, and the amount the provider may bill the patient?

A. Account note
B. Payment summary
C. Explanation of Benefits
D. Patient statement



Answer :

Final answer:

Explanation of Benefits (EOB) is a crucial insurance statement that outlines medical service costs, insurance coverage, and patient responsibilities.


Explanation:

Explanation of Benefits (EOB) is the insurance statement that shows the amount invoiced to a patient, the amount authorized, the amount paid, and the amount the provider may bill the patient. It helps individuals understand the coverage for medical services and the financial aspects of their healthcare.

For example, if a patient receives a medical service, the EOB will detail the cost of the service, how much the insurance company covers, and how much the patient needs to pay out-of-pocket. This document is essential for keeping track of healthcare expenses and understanding insurance benefits.

In healthcare, premiums, deductibles, and co-payments are important concepts related to health insurance and financial responsibility for medical services.


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