Patient information
Shows which dependent on your plan received care (if applicable). All information on the EOB refers to this individual.Your claim payment summary
A view of your claim information, shows the amount saved, amount paid by Sharp Health Plan, and amount you may owe your provider.
Date & service
Date of your health care service, description of the service, and the code your provider billed for the service.
Provider billed
Amount your health care provider charged for your service.
Amount allowed
Amount that Sharp Health Plan will pay for a covered health care service with that provider.
We paid
Amount Sharp Health Plan paid the provider towards each service.
Not covered
Portion of the amount billed not covered or eligible under your plan.
Deductible
Amount 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/Coinsurance
Copay 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.
Notes
Provide general information about the claim and may provide specific explanation of the activity that occurred.