How long does it take to get an explanation of benefits?

Almost 80 percent of claims are received within 30 days from the date of service. In some cases, it can take up to 60 days before your doctor or hospital submits a claim. How quickly we process the claim once it’s received. More than 90 percent of claims are processed within 7 days of receiving them.

How do I check my EOB?

You can view your online EOBs by following these steps.

1. Log in to your account at bcbsm.com. If you haven’t registered, follow the instructions to sign up.
2. Your latest EOB will be under Claims on the top menu. You can choose to receive only your EOBs online, eliminating the paper statements that get mailed to your home.

Does Blue Shield send EOB?

Your EOB usually arrives four to six weeks after the claim has been submitted to Blue Shield. It contains the name of your doctor, the amount billed, the claim number and the date of service. If you don’t have your EOB handy, the more details you do have available, the faster your service will be.

Is an explanation of benefits a bill?

The Explanation of Benefits is not a bill so, no, you shouldn’t pay anything yet. It’s really just a report of what your insurance plan is going to cover, based on what the doctor has charged and what type of plan you have.

How do I know my EOB?

How to read your EOB

1. Provider—The name of the doctor or specialist who provided the service.
2. Service/Procedure—The type of service you received.
3. Total Cost—The amount we pay for the service.
4. Not Covered—The amount of the service not covered (this usually only occurs if the service is denied).

What states does Highmark BCBS cover?

Access to participating doctors and hospitals wherever you go in Pennsylvania, West Virginia, New York, Ohio and New Jersey. More choice through one of the largest Medicare Advantage PPO networks in the state. Over 34,000 doctors, specialists and hospitals in Pennsylvania and West Virginia.

Is Highmark same as Blue Cross?

“In the coming months, the newly affiliated organization will be rebranded Highmark Blue Cross Blue Shield of Western New York and Highmark Blue Shield of Northeastern New York,” the two Blue Cross plans said. Financial terms of the deal weren’t disclosed.

Why is EOB important?

An EOB is a statement from your health insurance plan describing what costs it will cover for medical care or products you’ve received. The EOB is generated when your provider submits a claim for the services you received. The insurance company sends you EOBs to help make clear: The cost of the care you received.