Docsplainin' -- it's what I do

Docsplainin'--it's what I do.
After all, I'm a doc, aren't I?



Showing posts with label EOB. Show all posts
Showing posts with label EOB. Show all posts

Friday, January 22, 2010

Stupid EOBs, Edition 1


Mount Etna (Aetna)Mount Aetna         Image via Wikipedia














An EOB, for the unitiated, is an Explanation of Benefits. More often, they are better described as Obfuscations of Benefits.

This one is from Aetna. It purports to explain why they did not pay me for a session:

 "The member's plan provides benefits for covered expenses at the plan's recognized percentile level of charges received by Aetna for the same service."




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Tuesday, June 23, 2009

Are these people for real?

This is from the actual Remarks section of an actual Explanation Obfuscation of Benefits received in the mail today:

Remarks
D214 -- We have reviewed your previously denied claim. We have found you to be eligible and are overturning your denial for that reason. Your claim has been reconsidered and has been denied. . .

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