Final answer:
The document that identifies what was billed, paid, rejected, or denied for Medicare patients, as well as the allowable amount and any adjustments, is called an Explanation of Benefits (EOB).
Step-by-step explanation:
The document that identifies what was billed, paid, rejected, or denied for Medicare patients, as well as the allowable amount and any adjustments, is called an Explanation of Benefits (EOB).
The EOB provides a summary of the healthcare services received by the patient, the amounts billed by the healthcare provider, the amounts paid by Medicare, any amounts that were rejected or denied, and the total allowable amount for each service.
For example, if a Medicare patient receives a doctor's visit and the doctor bills $100, the EOB will show the allowable amount determined by Medicare, which may be $80, and any adjustments made by Medicare, such as deductibles or copayments.