answersLogoWhite

0

The EOB (Explanation of Benefits) is what explains Medicare's payments and denials. Sometimes it is referred to as an EOP (Explanation of Payment). This document will show all items filed on a particular claim for a particular provider. It will show which items were covered or noncovered and why, which items were denied and why, and which items were paid. It will also show the patient's responsibility as far as deductible and coinsurance goes. If the patient has a Medicare supplement or just a secondary plan and Medicare is aware who you have chosen, they will "crossover" the claim to the secondary. This means they will automatically send a notification to the secondary payor to let them know how much Medicare allowed (the total amount the provider should receive from Medicare, other insurance companies and the patient), and how much is being left to the patient/secondary.

User Avatar

Wiki User

12y ago

What else can I help you with?

Related Questions

Can you have Medicare if on long-term disability?

Yes, if you are receiving Social Security disability payments.


Will My Payments Increase In Between The Term Of The Lease?

No. Your payments are locked in for the complete term of the lease. However, in case the tax rates increase, then on that way it will affect your payments.


Medicare was enacted during the term of which president?

President James Monroa


What is a poetic term for 'rewards' or 'payments'?

Guerdon


Which amendments explains about the presidents term?

The 22nd Amendment.


What best explains the term social contract?

d


What is the constellation Medicare plan?

Constellation Health Medicare Advantage is a Medicare Plan Part C provider. It is a private company that works in addition to Medicare Parts A and B. The person still continues to receive Medicare. The Constellation plan kicks in to cover expenses that are not covered by Medicare parts A and B.


The part of the balance of payments account that lists all long-term flows of payments is called?

Balance of payments is a method that is used to monitor international monetary transactions over a specific period of time. The long term flows of payments is part of the current account.


What is the term for payments that conquered people were forced to?

tribute


What is payment term CIA?

what is the terms of payments C.I.A?


Can short term disability payments be garnished in ks?

The government can garnish short term disability payments but no one else can. This is usually for back student loans or taxes.


What does Medicare pay that Medicaid does not pay?

Medicare and Medicaid coverage is virtually identical. The two principal things to remember are: Medicaid is always the payor of last resort (i.e., bill Medicare and/or private insurance first); and, Medicare does not pay for long term custodial care, such as a nursing home (Medicaid does).