What's the different between an EOB and a medical bill, or are they the same thing?

What's the different between an EOB and a medical bill, or are they the same thing?
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#1

What’s the different between an EOB and a medical bill, or are they the same thing?


#2

While they contain similar information, they aren't the same thing.

A medical bill is what your healthcare provider says is owed for services provided. On the other hand, an Explanation of Benefits (EOB) is not a bill but rather a statement showing how your insurance company processed the bill from your medical provider, what's covered, what isn't, what they paid, what they say your healthcare provider can bill you, and so forth.

Be sure you always review both EOB and medical bills, as they can contain errors. And if there are issues that you're unable to resolve, you may need to have a patient advocate step-up on your behalf.


#3

Everything Larry said is correct. The only thing I would add is that if you think there is an error you can call the insurance company and the Dr's office to check it out.

Sometimes people are reluctant to call ins or Dr;s office but they are happy to answer questions. And if there is an error they want to know about it.


#4

I would agree with all the posts on this board.
If you still have questions Please reach out!
Cheryl Welch, MBA
Hudson Valley Medical Bill Advocates


#5

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