CPB Certified Professional Biller Certification Practice Exam

What is the main purpose of providing an Explanation of Benefits (EOB)?

1. To inform about covered services and out-of-pocket costs

2. To support patient scheduling

3. To guide about insurance premiums

4. To confirm physical health check-ups

The correct answer is: To inform about covered services and out-of-pocket costs

The primary purpose of an Explanation of Benefits (EOB) is to inform patients about the services that were covered by their insurance, as well as outlining the out-of-pocket costs that the patient is responsible for. An EOB provides a detailed account of the medical services provided, including information about payments made by the insurance company, the remaining balance that the patient needs to pay, and any applicable deductibles or copays. This transparency helps patients understand their financial responsibilities regarding their healthcare and assists them in managing their medical bills. The other options do not accurately capture the function of an EOB. While patient scheduling, insurance premiums, and confirmation of health check-ups are relevant to overall healthcare management, they do not pertain to the specific details that an EOB conveys regarding coverage and costs for individual medical services.