March 29, 2017
New Easier-to-Understand Explanation of Benefits (EOB) Introduced
The EOBs got a fresh new look to make them more reader-friendly and easier to understand. We streamlined the design, clarified the claims math and simplified the language to create a straightforward tool to help members better understand their health care finances.
The redesigned full color EOB has a completely new, user-tested layout, and focuses on three major sections:
Another benefit of the new EOB is that simple or shorter claims will fit on one EOB page. Also, only one Appeals Addendum will be produced per set of EOBs (per household). Currently, each claim triggers its own Addendum, so a single mailing can contain multiple addenda. This reduces the amount of paper we produce and improves the customer experience.
The new EOB will also be available in Spanish.
View the new Understanding Your EOBs flier (group members).