This year, Priority Partners members will begin receiving Explanation of Benefits (EOB) statements in the mail when a claim is denied. So what is an EOB?
The first thing to know is that an EOB is not a bill. They are not asking for payment. An EOB tells the member what services they received and what their coverage was for the services. It provides information about how much a service cost and how much Priority Partners paid for the service.
This information helps members keep records of the services they have had and helps them understand how those services are covered and paid for. You will receive an EOB when the claim for a service has been denied.
If you have any questions about an EOB, please call our Customer Service at 800-654-9728.
The EOBs from Priority Partners will look similar to this: