After a Claim Is Processed, an Explanation of Benefits (EOB)

question 15

Multiple Choice

After a claim is processed, an explanation of benefits (EOB) is sent to the:

• A) provider only.
• B) patient only.
• C) provider and the patient.
• D) carrier's headquarters.

---

Definitions:

Exploitative

Pertaining to taking unfair advantage of a situation or person, usually for personal gain, often at the other’s expense.

Self-Monitoring

The process by which individuals regulate their behavior to adapt to social situations or adhere to societal norms.

Adjust Behaviour

The act of changing one's actions or reactions to better meet expectations or adapt to a specific environment or situation.

External Factors

Elements outside an organization that can affect its performance and strategies, such as economic conditions, competition, and regulations.