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Health Care Fraud & You

What You Can Learn From Your Explanation of Benefits Statement

Your health insurance company sends you an Explanation of Benefits, or EOB, to let you know that it has processed a claim for payment from a health care provider. Many insurance companies also let you check your account activity online.

You should carefully review your EOB every time you receive it. Your EOB provides information about the health care services you have received, how much your insurance company has paid for your health care and any charges that are not paid for by your insurance. An EOB is not a bill, but it may explain how much your health care provider can bill you.

By understanding what's in your EOB you can avoid spending too much for your health care. You can also look for billing errors and question anything you don’t understand or just think is not right.
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