When you visit a doctor or other medical provider, your health plan sends you an explanation of benefits (EOB). This document shows what services were billed, what your health plan covered, and what costs you may need to pay.
Below are answers to common EOB questions
How can I tell the difference between an EOB and a medical bill?
An EOB isn’t a bill. The EOB might show the portion of costs you could owe, such as your deductible, copay, or coinsurance, but it doesn’t ask for payment. A bill will always come from your medical provider, not from your health plan.
What if my name is misspelled on my EOB?
Contact your health plan to correct any spelling errors. If your health plan has your name spelled correctly, reach out to your doctor or the provider who submitted the claim so they can update their records. If you get coverage through your employer, you may need to contact your employer’s benefits office.
What does the “date of service” mean?
The “date of service” is the date you received care from the provider who filed the claim.
Will I get a bill from my provider right after the EOB arrives?
Not always. If the EOB shows you owe part of the cost, it can take time before your provider sends a bill. You might not get a bill if you don’t owe anything.
Who can I contact if I have questions about EOBs?
For general questions about EOBs, call the TDI Help Line at 800‑252‑3439.
