24.7k views
1 vote
A recap sheet that accompanies a Medicare or Medicaid check, showing breakdown and explanation of payment on a claim is called...

a) Explanation of Benefits (EOB)
b) Remittance advice
c) Claim summary
d) Provider statement

1 Answer

1 vote

Final answer:

The correct term for a sheet that comes with a Medicare or Medicaid check, explaining the payment breakdown of a claim, is remittance advice. This provides the healthcare provider with details of the payment for their claim, including amounts billed and paid.

Step-by-step explanation:

The student asked which term refers to a recap sheet that accompanies a Medicare or Medicaid check, showing a breakdown and explanation of payment on a claim. The correct answer is b) Remittance advice. An Explanation of Benefits (EOB) is a statement sent to patients to show the portion of the bill the insurance plans to cover, but remittance advice is specifically the notice sent to the healthcare provider that details the payment of their claim.

Remittance advice serves as a proof of payment receipt from Medicare or Medicaid and gives a detailed account of all the individual claims included in that payment. It typically includes the patient's name, the service provided, the amount billed, the amount approved by Medicare or Medicaid, the amount paid, and any applicable Medicare deductible or coinsurance.

User Minion Jim
by
7.6k points