An EOB is an explanation of how your plan benefits were applied to your claims, so in other words what your insurance has paid and has not paid. Through My Account you will be able to download your EOB's which will explain any amounts you still owe, what amounts have been paid and anything you need to action (such as completing a claim form). You can download our sample EOB that outlines and explains how to read this document.How are medical claims processed in the USA?
If you are receiving treatment through your insurance plans network, the doctor/hospital should submit the bill directly to Seven Corners for processing. You will need to make sure to hand over a copy of your insurance ID card at the time of treatment, as this contains all the information about your insurance plan.
If the provider is not part of the network or you do not have your insurance ID card with you, they will typically ask for payment to be made upfront, and you would need to submit a claim form for reimbursement. Please keep copies of all receipts, bills and your full medical records so you can submit that to Seven Corners along with a completed claim form.How are medical claims processed outside the USA?
If you are based outside the USA, please call Seven Corners or locate a doctor/hospital online that is close to you to seek treatment. In most cases you will need to pay for your medical expenses at the time of treatment and then submit a claim for reimbursement.How do you get reimbursed for medications? If you have been given a prescription medication by the doctor, please do the following: