Health and Life Insurance

Category - Health and Dental

A statement addressed to a beneficiary and written by a third party payer, that indicates which benefits and charges will and will not be covered under a dental benefits plan after a claim has been reported, is known as a(n) __________.
  1. Claim
  2. Explanation of Benefits
  3. Rider
  4. Waiver of Premium
Explanation
Answer: B - A statement addressed to a beneficiary and written by a third party payer, that indicates which benefits and charges will and will not be covered under a dental benefits plan after a claim has been reported, is known as a(n) explanation of benefits, or EOB. Essentially, an EOB gives insureds details regarding their claim status. These statements should be presented in a user-friendly and readable format so that individuals may understand the charges and benefits.
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