Question

The Explanation of Benefits contains all of the following information EXCEPT:

O a. amount allowed by the payer
O b. procedure codes
O c. date of service
O d. diagnostic codes

Answer 1

The Explanation of Benefits (EOB) contains all the necessary information related to charges for medical services, but does not include specific details about the patient's deductible or out-of-pocket expenses.

Step-by-step explanation:

The Explanation of Benefits (EOB) is a document that outlines the charges for medical services and shows how much the insurance company will pay and how much the patient is responsible for. It typically includes information such as the amount allowed by the payer, procedure codes, date of service, and diagnostic codes.

However, the EOB does NOT typically include the actual amount paid by the insurance company or any specific information about the patient's deductible, copayments, or out-of-pocket expenses.