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Explanations of Benefits and Medical Bills
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Health & Wellness
HW.202 Explanations of Benefits and Medical Bills
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Which comparison correctly distinguishes an insurer's explanation of a processed claim from a bill requesting payment?
A
The insurer's EOB collects payment for the provider, and the provider's bill explains insurance rules.
B
The bill is often sent before insurance processing, and the EOB is often an appointment estimate.
C
The EOB and bill are interchangeable, so either one can be paid the same way.
D
The insurer's EOB explains how the claim was processed and what the patient may owe; the provider's bill requests payment for the remaining balance.
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