Patient informationShows member of your family plan that received care. All information on the EOB refers to this person.
Your claim payment summaryA view of your claim information, shows the amount saved, amount paid by Sharp Health Plan, and amount you may owe your provider.
Date & serviceDate of your health care service, description of the service, and code for the service.
Provider billedAmount your health care provider charged for your service.
Amount allowedAmount that Sharp Health Plan will pay for a covered health care service with that provider.
We paidAmount Sharp Health Plan paid the provider towards each service.
Not coveredPortion of the amount billed not covered or eligible under your plan.
DeductibleAmount you need to pay in a plan year for specific covered services before your plan starts paying benefits.
Copay/CoinsuranceCopay is a fixed amount you pay for covered health care services after paying your deductible. Coinsurance is a percentage of costs you pay for covered health care services.
NotesProvide general information about the claim and may provide specific explanation of the activity that occurred.