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When you go to a doctor or other health care provider, we'll send you a statement like this (we call it an Explanation of Benefits, or "EOB"), showing the cost and who is paying for what.
Point your cursor at any green circle to learn more about what it says.
This "header" notes the date you received care, your health care provider's name and where you received your care. You'll also see your Priority Health contract number (which appears on your ID card) and the amount of the claim that you're responsible for paying.
Here you'll see what services your health care provider charged us for and how payments were applied. It may include more than one service on the same day.
What your health care provider typically charges for the service.
The difference between what the health care provider typically charges and the amount they've agreed to charge Priority Health members.
What Priority Health paid toward the discounted cost, based on your health plan benefits.
Your cost before any payment from your HRA.
What your HRA paid toward the discounted cost.
It's NOT what you owe, because you may already have paid some or all of this amount as a copay! It's the total of your share of the cost after we've paid our portion. If any of this amount is applied to your deductible or coinsurance (as outlined in your coverage documents), or if your plan specifies that you pay a copay, it's noted here. If you owe your health care provider money, you'll receive a bill from them.
Additional comments about the services you received or the amounts paid are indicated by an alphabetical letter (A, B, C, etc.) in this column. Find the comments in the Notes section below.
Additional comments about the services you received or the amounts paid.
What your HRA paid toward the adjusted cost.
Last modified
04/09/08
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