An EOB does look like a bill. The purpose of the EOB is to inform you of what has been billed to your health plan by the provider of the goods/services (in this case, us) and what reimbursement amount we are asking for in return for our provided services (the “charge”). From here, the health plan will determine a figure that has either been contractually agreed on in advance with us, or they will set an amount they think fair as the starting point for reimbursement – the “allowed amount.”

The EOB will show you your expected financial obligations, such as copayment and deductibles, and then show a figure that your health plan will pay to us. The last entry of each line item on the EOB will be titled something along the lines of, “You owe” or “Your responsibility.” This is why some patients confuse an EOB with a medical bill.