Explanation of Benefits

The explanation of benefits is a statement you will receive from your dental insurance company that details exactly how the claim was processed by the insurance company. It will indicate what discount on the service the patient received because they had dental insurance, how much the insurance company paid, and what the patient will owe the dentist.

An explanation of benefits is not a bill, and when a patient receives it, they should not send any payment to anyone. The explanation of benefits will come before the bill comes from the dentist. If the bill is received first, the patient should wait until the explanation of benefits comes to pay the bill, making sure that it was sent to the insurance company. The explanation of benefits is what tells the patient that the insurance company received the bill from the dentist. It is an easy way to make sure that the bills are being sent to the insurance company.

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