How to read your Explanation of Benefits( EOB)
MyChart: View claims and EOBs
EXPLANATION OF BENEFITS
How to read your Explanation of Benefits( EOB)
Once your claim has been processed, both you and your provider will receive an EOB. If any part of the EOB is not clear, call Senior Care Plus customer service at
775-982-3112. They will look up the claim and answer any questions you may have.
MyChart: View claims and EOBs
• To view your claims, click on Your Menu in the upper left corner of the page.
• Scroll to the Insurance section click on Claims.
• You will be able to see EOBs for any claims that have completed by, those that have not completed will display a Processing message.
EXPLANATION OF BENEFITS
Member Name Member ID: C00077777 • Group: SCP RENOWN PREFERRED PBP 023 Sent 11 / 09 / 21
Claim Information
Reference Number: CLM-1129254
Date: |
3 / 30 / 21 |
Provider: |
Provider Name |
Location: |
20 / 20 VISION |
Total cost of services |
110.00 |
In-plan savings |
-1.30 |
Covered by this plan |
-63.70 |
Total expected cost 7 45.00
Paid to: |
20 / 20 VISION |
1 |
This is not a bill. There is no payment due for these services at this time. |
Service Details
Date Service Billed
3 / 30 / 21 OFFICE / OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN
9
Code Summary
2
3- 3-Co-payment Amount
3 4
Allowed
5
Not |
|
|
|
Covered |
Copay |
Deductible |
Co-Insurance |
Reason Code
Patient Total
110.00 110.00 0.00 45.00 0.00 0.00 3 45.00
Claim Totals: 110.00 110.00 0.00 45.00 0.00 0.00 45.00
6
8
– 28 –