Florida Health Insurance Definitions

Florida Health Insurance Terms:

What is "EOB?": This is Explanation of Benefits. " An example...

Every health insurer, including HMOs, is required to provide the insured or subscriber with an Explanation of Benefits (EOB) form in response to the filing of a claim. EOBs are not required when the service is provided by a participating provider who receives full reimbursement directly from the insurer. However, EOBs will be provided upon request.

The Explanation of Benefits, or EOB, is the statement or summary of the action taken on your claim—how much of the bill was paid by carrier and how much is your responsibility to pay (you may already have paid that portion at the time of service).

More On EOB: Health Link


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