🔹 For Patients

1. How to Read Your Explanation of Benefits (EOB)

A step-by-step guide explaining:

• Allowed amount

• Deductible

• Coinsurance

• Adjustments

• Patient responsibility

• Remark codes

2. Before You Pay a Medical Bill: 7 Things to Check

A checklist-style downloadable guide is available, just send me a request.

• Has insurance processed the claim?

• Does the balance match the EOB?

• Has secondary insurance been billed?

• Is this service subject to deductible?

• Was prior authorization required?

 

3. Understanding Deductibles, Copays & Coinsurance

A plain-language breakdown with examples:

• What happens when deductible isn’t met

• How coinsurance percentages apply

• Why you may owe more at the beginning of the year

4. What to Do If Your Claim Is Denied

A practical action guide:

• Identify denial reason

• Review your policy

• Request medical records

• File an appeal

• Track deadlines

5. Questions to Ask Your Insurance Company

A script-style resource:

• “Can you confirm if this CPT code is covered under my plan?”

• “Has my deductible been met?”

• “Is this provider in-network?”

• “What is the allowed amount for this service?”

 

6. Prior Authorization Explained

Clear breakdown of:

• What it is

• What it is not

• Why approval doesn’t guarantee payment

• Common pitfalls

7. Secondary Insurance & Coordination of Benefits Guide

• Primary vs. secondary rules

• Birthday rule

• When balances remain

• Why “it should have covered the rest” isn’t always accurate

🔹 For Medical Practices