Thursday, March 15, 2012

UHC releases redesigned EOB

UnitedHealthcare (UHC) is introducing a new Explanation of Benefits (EOB) design to help members more readily understand what their health plan and/or consumer account has paid on claims and how much they may owe their provider.

Currently the redesigned EOB is in an internal testing phase with a select group of early-adopter clients, with the intention to “go live” on March 26, 2012. The new design has been tested with member focus groups to determine how it can best improve the member experience.

By using more white space, clearer type and shaded boxes to highlight important information, the new EOB offers an “at-a-glance” claims summary that easily displays these critical elements to show “the math” on how the claim was paid and define what each means:
  • Amount Billed
  • Plan Discounts
  • Your Plan Paid
  • Total Amount You Owe the Provider(s)
In addition, the new EOB features a claim detail page that identifies the type of service rendered as well as itemized responsibility for items such as deductibles, copays, coinsurance and non-covered expenses.

Finally, an account summary is included that provides an up-to-date accounting of deductibles and out-of-pocket maximums for both the member and the covered family if the subscriber has dependents on his or her account.

Upon receipt of the EOB, members will clearly see the following statement: “This is not a bill. Do not pay. This is to notify you that we processed your claim.” Under that, they’ll find the shaded Claims Summary box with the important details highlighted.

For more information, view the EOB flyer.

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