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Explanation of Benefits

Explanation of Benefits. Explanation of Benefits. After migration, IBC will offer a new, easier-to-read format for the member Explanation of Benefits (EOB). The EOB is a notification sent to members to summarize how claims are processed.

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Explanation of Benefits

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  1. Explanation of Benefits

  2. Explanation of Benefits • After migration, IBC will offer a new, easier-to-read format for the member Explanation of Benefits (EOB). • The EOB is a notification sent to members to summarize how claims are processed. • Members will receive the redesigned EOB and new plan statements immediately following platform transformation when they have a medical claim with member liability (just as they do today).

  3. What’s Changing EOB Format • The EOB will have the same information as our current version, but a new, more user-friendly format. • After your organization migrates to the platform, members will begin receiving the new, redesigned EOB when they have a medical claim with member payment due. There is no EOB generated for pharmacy claims. • Members can select how they would like to receive their EOB: • Paperless via the member portal or email, which customers have the option to turn off. • Through the mail

  4. What’s Changing EOB Format 1 5 2 6 3 7 4 9 10 11 12 13 14 15 16 8 17

  5. Plan Activity Statement Consolidates EOB Information Information on EOBs, claims, spending accounts, and payments is consolidated in the Plan Activity Statement, a single, user-friendly statement.

  6. Communications “How to Read Your EOB” flyer • IBC will educate members on the changes to the EOB and new tools available with an updated “How to Read Your EOB” flyer. • Members can select how they would like to receive EOBs, paperless via the member portal or email, or through the mail. • IBC has educated doctors, hospitals, and specialists on the EOB changes to ensure they are prepared to answer member questions. Members can opt for paperless or via mail EOB Communications Education of provider network on EOB changes

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