Which document typically outlines the amount that a patient is responsible for after insurance processing?

The document that typically outlines the amount a patient is responsible for after insurance processing is the Explanation of Benefits (EOB). An EOB is issued by the insurance company and details how a claim was processed. It breaks down the costs associated with the medical service received, including the total charges, the amount covered by the insurance, any adjustments made, and the final amount that the patient needs to pay out-of-pocket. This transparency allows patients to understand their financial responsibility following insurance handling of their claim.

In contrast, an invoice usually represents charges directly from a healthcare provider, but it may not reflect what the insurance has covered or any adjustments made. A statement of account may summarize multiple transactions but does not specifically provide insight into how insurance processed individual claims or what portion remains due after that processing. Finally, a pre-authorization notice is used to inform the provider or patient that a service is approved for coverage; however, it does not contain information about the patient's financial responsibility after the claim has been processed.