Section 3: Care details
This section shows you a breakdown of the cost of each health care service that you received. The "Care details" section includes the same information as the summary on the first page—except for each individual service or claim.
There are a few additional columns with amounts that only appear in this detailed section:
Amount not covered – This is the difference between the health care provider's price and your discounted rate. In other words, it's the amount you saved by being a Regence member.
Applied to your deductible – This is the amount that has been paid toward meeting your deductible.
Your copay/coinsurance – Your copay—a set amount you pay your health care provider for an office visit—is included in this amount (if your health plan has copays). It also includes coinsurance, which means cost-sharing. In other words, Regence shares the cost of care with you, and this is your portion.
Listed beneath some services, you may also see a code that gives the reason why payment for some or all of the service was approved or denied. If you have questions about these reason codes, reach out to Customer Service.
One more thing to note: If you have more than one type of health plan, coordination of benefits applies—meaning, we'll work to make sure you receive the full benefit of your plans. In this case, your claims through other plans won't be on your EOB, but the costs will be reflected in your amounts.