Interoperability Patient Access API Financial v0.5
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The Explanation Of Benefit resource provides details on claims submitted by a provider, as well as details on final payer adjudication of each claim.
The Explanation Of Benefit (EOB) is a statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf. The Explanation of Benefit API data can be used for data analysis as this API covers data related to claims, Claims response, and coverage/Eligibility information.