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Credentialing Glossary

EOB

denial-management

Definition

Explanation of Benefits. The patient-facing document a payer mails or posts to the member portal showing what was billed, allowed, paid, and what the patient owes. Different from the provider remittance (835 / ERA), which has more granular adjustment codes. Patients receive an EOB after each claim adjudicates; providers receive the 835 simultaneously.
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