What does the EOB/RA document indicate about a billed service?

What does the EOB/RA document indicate about a billed service?

• A. It identifies line items that were paid, reduced, or denied.
• B. It lists the patient's next appointment.
• C. It provides the provider's payment schedule.
• D. It lists patient education materials.

Answer: (A)

The main idea is that an EOB/RA shows how each billed service was processed by the payer. For every line item, it indicates whether the service was paid, paid at a reduced amount, or denied, and it lists the monetary details—the allowed amount, the insurer’s payment, and any amount the patient must pay. It may also include adjustment or denial reason codes to explain why a reduction or denial occurred. This lets you reconcile the claim and understand the patient’s responsibility. It’s not about scheduling next appointments, provider payment calendars, or patient education materials.

The main idea is that an EOB/RA shows how each billed service was processed by the payer. For every line item, it indicates whether the service was paid, paid at a reduced amount, or denied, and it lists the monetary details—the allowed amount, the insurer’s payment, and any amount the patient must pay. It may also include adjustment or denial reason codes to explain why a reduction or denial occurred. This lets you reconcile the claim and understand the patient’s responsibility. It’s not about scheduling next appointments, provider payment calendars, or patient education materials.