如何理赔

How to read the EOB

• Insured: The person covered by insurance.
• Patient: The person received the medical service.
• Patient Account Number: A number assigned to the patient in order to identify a specific ac-count or date of service.
• Procedure Code: Also called CPT Code, used to document medical procedures performed.
• Amount Claimed: The dollar amount claimed by your provider.
• Ineligible: Charges for services not covered by your policy.
• Discount: Network discount if applicable.
• Total Covered: Dollar amount for covered benefits.
• Co-Pay: Dollar amount you’re required to pay for certain Covered Medical Expenses.
• Policy Deductible: Dollar amount required to be paid before benefit payment is made.
• Total Benefits: Total paid by your insurance.
• Patient Balance: Dollar amount owed by insured.
• Remark Code: The code is explained in the Remarks section.