Revenue cycle management / TERM EXPLAINED
Explanation of Benefits (EOB)
An adjudication statement describing claim processing, allowances, payments, denials and member responsibility.
A dental practice example
An EOB lists the allowed amount and reason codes for a crown claim.
Why it matters for reimbursement
It helps explain a payment but is not itself the complete signed contract.
What to verify
Use the EOB alongside the contract and original claim for variance review.
FROM DEFINITION TO DECISION
Turn reimbursement questions into evidence.
PayorMap helps dental groups connect disclosed negotiated rates, provider and network context, and contract details to meaningful benchmarking questions. Coverage and mapping confidence vary by payor and market.