An Explanation of Benefits, commonly referred to as an EOB, is a statement provided by your health insurance company after you receive medical services. It outlines the details of the services you received, the amount billed by your healthcare provider – Rume Medical Group- what your insurance covers, and what you may be responsible for paying out of pocket. It is important to note that an EOB is not a bill, but a summary of the financial aspects of your healthcare services.

Key Components of an EOB
Understanding the different sections of your EOB can help you manage your healthcare expenses more effectively. Below are the key components you’ll find on your EOB:

1. Patient Information
This section contains your personal details, including your name, address, and sometimes your insurance policy number. It’s crucial to verify this information to ensure that the EOB corresponds to the services you received.

2. Provider Details
Here, you’ll find information about Sameday Health, that is the healthcare provider who rendered the services. This typically includes Sameday Health’s, location, and contact information.

3. Service Dates
This section lists the dates when you received the healthcare services. Double- check these dates to make sure they match your records.

4. Service Description
The service description provides a summary of the medical services you received. This could include office visits, lab tests, procedures, or any other services covered by your insurance.

5. Amount Billed
This is the total amount that Sameday Health has billed your insurance company for the services rendered.

6. Amount Allowed
The amount allowed is the maximum amount your insurance company will consider for payment based on your policy’s coverage. This amount may be lower than what was billed, depending on your insurance plan.

7. Patient Responsibility
This section outlines what you owe out of pocket, including copayments, coinsurance, and deductibles. It’s essential to understand this section to know what payments you are responsible for.

8. Insurance Payment
Here, you’ll see the amount your insurance company has paid to Same day Health on your behalf. This payment is based on the terms of your insurance policy.

9. Remaining Balance
The remaining balance is the difference between the amount billed and the amount paid by your insurance. This is typically the amount you will need to pay if it isn’t covered by your insurance.