Patient account number - Your account number with your health care provider.
Amount charged - The total amount charged by a health care provider for services you received, whether or not the services are covered under your health plan.
Network savings - The amount you saved by receiving services from a health care provider within your health plan’s network.
Amount paid by health plan - The amount paid to you or your health care provider.
Deductible - The fixed dollar amount you pay for certain covered services before benefits are available. Your health care provider may bill you for these charges.
Copayment - The fixed dollar amount you pay for certain covered services. Your health care provider may require this payment when you receive services.
Coinsurance - The amount, calculated using a fixed percentage, you pay for certain covered services. Your health care provider may bill you for these charges.
Amount not covered - The portion of the charges not covered under your health plan.
Other insurance paid - If you have coverage with another health plan, this is the amount that the other plan has agreed to pay.
Amount you are responsible for - Your share of the cost of the services shown on the EOB. You should use this information to coordinate your payment(s) with your providers.