Insurance Glossary

Insurance Term - Explanation of Benefits (EOB)

A document sent to an insured when the insurance company handles a claim. The document explains how reimbursement was made or why the claim was not paid, as well as any additional information if required for satisfying the customers. The appeals procedure has been streamlined to advise the insured of his or her rights in case there is dissatisfaction with the decision delivered by the insurance company. It lists the services for which the policyholder or his/her healthcare service provider has sent claims for reimbursement processing. These forms are not bills, but explain the results for each service submitted. In short, it is a statement sent by health plans to individuals who have experienced a claim under the health plan. The explanation of benefits (EOB) details the charges for the healthcare services received, the amount the health insurance company will pay for those services, and the amount the insured person will be responsible for paying.

Advertisement

Health Insurance Topics

• About Ombudsmen
• An Introduction - Indian General [Non-Life] Insurance Companies
• An Update on UK Health Insurance
• Apollo Munich Health Insurance Company Limited - Benefits, Easy Health Policies, Disease Specific Plans
• Awareness about Healthcare Insurance in India
• Bajaj Allianz Senior Citizens Health Insurance
• Bharti AXA Health Insurance Plans
• Cholamandalam (Chola MS) Health Insurance Policies - Key Features, Eligibility and Claim Benefits
• Comprehensive Health Insurance Scheme in Tamil Nadu - Eligibility, Procedure, Features, Benefits
• Critical Care Health Insurance Plan

Advertisement

• Customer Care in Health Insurance Industry
• Employee State Insurance Corporation (ESIC)
• Exide Life Critical Illness Rider Enhances Your Base Policy against Critical Illnesses
• Fraudulent Health Insurance Claims
• Future Generali Insurance-Group Health-Group Personal Accident-Accident Suraksha
• HDFC Ergo General Insurance - Health Suraksha, Critical Illness Insurance
• Health Insurance
• Health Insurance - Common Terms and Definitions
• Health Insurance Basics
• Health Insurance For Pre-Existing Conditions
• Health Insurance for Senior Citizens - Comparison Chart of Policies, Mediclaim Policy
• Health Insurance for Senior Citizens in India – General Guidelines
• Health Insurance in Europe
• Health Insurance in India - An Introduction
• Health Insurance In India - An Overview
• Health Insurance Plan
• Health Insurance Policies - Fine Prints
• Health Insurance Policies Offered by Bajaj Allianz Insurance
• Health Insurance Portability and Accountability Act [HIPAA]
• Health Insurance Portability Now a Reality
• Health Insurance: Learn About Third Party Administrators (TPA)
• Healthcare Plans from ICICI Lombard General Insurance Company
• Iffco-Tokio General Insurance Pvt Ltd - Medishield Policy, Personal Accident Policy, Swasthya Kavach, Critical Illness Policy
• Insurance Agent - Your Friend and Your Guide
• Insurance Concepts and IRDA [Insurance Regulatory and Development Authority]
• Key Procedures for Filing a Healthcare Insurance Claims
• Max Bupa Health Insurance Company Limited
• National Health Insurance Schemes
• National Health Policy - Policy Thrust
• National Insurance – Health insurance Policy for Senior Citizens

Advertisement

• National Insurance Company Ltd
• Oriental Insurance - Individual Mediclaim, Happy Family Floater, Personal Accident Policies
• Oriental Insurance - Senior Citizen Specified Diseases Insurance
• Overview on USA Healthcare Insurance
• Premium Calculation by Health Insurance Companies
• Raheja QBE General Insurance Pvt Ltd
• Reliance General Insurance - Health Gain Policy, Critical Illness Cover, Personal Accident Insurance Coverage
• Royal Sundaram General Insurance Company Limited
• Senior Citizen Health Insurance Plans in India | Health Insurance Plans for Senior Citizens in India
• Shriram General Insurance-Claims-Liability Policy-Personal Accident
• Star Health and Allied Insurance - Senior Citizens Red Carpet
• Star Health and Allied Insurance - Travel Corporate
• State Health Insurance Programs
• Student Health Insurance Options
• Tata AIG General Insurance Company Ltd
• The Mediclaim Policy: 2007
• The New India Assurance - Senior Citizens Mediclaim Policy
• TPA (Third Party Administrator) for Claims and Cashless Health Insurance
• United India Insurance Company - Senior Citizen Health insurance
• United India Insurance Company Limited - Mediclaim Accident Family
• Universal Sompo General Insurance Pvt Ltd
• What is Medicare / Medicaid? - Eligibility - Payment - Reference

Advertisement