As long as a bill is submitted on a HCFA or UB04 form, an EOS (Explanation of Sharing) should appear on your Member Center within 30-45 business days. If it has been more than 45 days and the bill is still listed under "in process," you may call the Contact Center at 1-800-264-2562.
For a short video tutorial regarding the medical billing process, click here.
Your EOS (Explanation of Sharing) can be found in your Member Center using the "Medical Bill Status" menu option. Your EOS will be ready to view and can be downloaded as a PDF or printed. EOS's are not able to be mailed.
Your total is listed next to the "Member Responsibility Total" on your EOS (Explanation of Sharing). This amount should match the provider's invoice. The EOS will have notes in the "service line explanations" if the bill was not eligible. You might also see additional notes at the bottom of the EOS.
For a short video tutorial on how to understand your EOS, click here
For more information about your bill, you may call the Contact Center at 800-264-2562 and press option 1 for Member and option 1 for medical bill questions.