An EOP will include the following information to help reconcile your payment :
• Check date and number
• Payee number , name and address
• Service date , procedure codes
• Billed , contracted / allowed , and COB amount
• Deductible , co-insurance , and co-pay amount
• Ineligible amount
• Prepaid / Cap amount
• Paid amount
• Remarks
• Member responsibility
The member financial responsibility will reflect in the ineligible , deductible , coinsurance or co-pay fields . The remarks section identify additional information regarding the adjudication of the claim , such as if a benefit maximum has been met or if the claim has been denied and why .
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