Patient informationShows which dependent on your plan received care (if applicable). All information on the EOB refers to this individual.
Your claim payment summaryA view of your claim information, shows the amount saved, amount paid by Sharp Health Plan, and amount you may owe your provider.
Date & serviceDate of your health care service, description of the service, and the code your provider billed for the service.
Provider billedAmount your health care provider charged for your service.
Amount allowedAmount that Sharp Health Plan will pay for a covered health care service with that provider.
We paidAmount Sharp Health Plan paid the provider towards each service.
Not coveredPortion of the amount billed not covered or eligible under your plan.
DeductibleAmount you need to pay in a plan year for specific covered services before your plan starts paying benefits. As a CalPERS member, you do not have a deductible. This will be listed as $0 on your EOB.
Copay/CoinsuranceCopay is a fixed amount you pay for covered health care services after paying your deductible. Coinsurance is a percentage of costs you pay for covered health care services. As a CalPERS member, you do not have a deductible. This will be listed as $0 on your EOB.
NotesProvide general information about the claim and may provide specific explanation of the activity that occurred.