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What is the difference between an explanation of benefits and a remittance advice?

(1 point)
Responses

The explanation of benefits goes to the patient. The remittance advice goes to the doctor’s office, clinic, or hospital.
The explanation of benefits goes to the patient. The remittance advice goes to the doctor’s office, clinic, or hospital.

The explanation of benefits goes to the doctor’s office, clinic, or hospital. The remittance advice goes to the patient.
The explanation of benefits goes to the doctor’s office, clinic, or hospital. The remittance advice goes to the patient.

The explanation of benefits goes to Medicare and Medicaid patients. The remittance advice goes to patients who have private insurance.
The explanation of benefits goes to Medicare and Medicaid patients. The remittance advice goes to patients who have private insurance.

The explanation of benefits goes to patients who have private insurance. The remittance advice goes to Medicare and Medicaid patients.

1 answer

The correct response is:

The explanation of benefits goes to the patient. The remittance advice goes to the doctor’s office, clinic, or hospital.

This means that the explanation of benefits (EOB) is provided to the patient to explain what medical services were covered, what the insurance paid, and what portion the patient is responsible for. In contrast, the remittance advice (RA) is sent to the healthcare provider, detailing the payment received for services rendered and explaining how the payment was calculated.