Use this article to understand what an Explanation of Benefits (EOB) is, why you receive one, and how it relates to your Alma invoices.
What Is an Explanation of Benefits (EOB)?
An Explanation of Benefits (EOB) is a document your insurance company sends after it processes a healthcare claim.
An EOB is not a bill. It explains:
- The healthcare service you received.
- What your insurance plan covered.
- Any discounts applied through your insurance.
- The amount your insurance paid.
- The amount you may be responsible for paying.
Depending on your insurance company, you may receive your EOB by mail or view it through your insurance member portal.
Why Did I Receive an EOB?
You'll typically receive an EOB after your provider submits a claim to your insurance company for a therapy session.
Receiving an EOB simply means your insurance company has finished reviewing the claim.
How Does My EOB Relate to My Alma Invoice?
Alma estimates your session cost before your insurance claim is processed.
After your insurance company reviews the claim, it determines your final payment responsibility.
Because of this, the amount shown on your EOB may explain why:
- You owe a copay, coinsurance, or deductible.
- Your final session cost is different from your estimate.
- You receive an invoice from Alma after your session.
Alma bills you based on your insurance company's final claim decision.
What Should I Do If My EOB Looks Incorrect?
If you believe your EOB contains incorrect information:
- Review the claim details on your EOB.
- Contact your insurance company to ask how the claim was processed.
- If you still have questions about your Alma invoice after speaking with your insurance company, contact Alma Support.