An EOB is a summary of your claims activity that includes:
- Total charge: The total amount a provider charged for the services.
- Member discount: Discounts are negotiated with providers. As a member, you get the benefit of these negotiated, discounted rates and if you use an in-network provider.
- Your plan(s) paid: The amount your health plan paid based on the benefit coverage and the contracted rates with the providers.
- Your responsibility: The amount that you will be billed from the provider after benefits and discounts have been applied.
EOBs are sent every two to four weeks, depending on your plan. Each EOB will include any claims processed within that time. It’s important to remember, you will not receive a bill from us. You may be able to see information about a claim before your EOB is ready by viewing the claims section within Blueprint Portal.
Family access
If you’re a dependent age 18 or older, create your own Blueprint Portal account to view your health plan information. Want the policyholder to see your claims? Turn on Family Access from your account.
Policyholders can also choose paperless Explanation of Benefits (EOB) notifications and get updates by email instead of mail. All Blueprint account holders can opt-in for member notifications by text, email or both and you have the option to change your preferences anytime.
Note: If you have separate dental or vision coverage, you will need to update the settings for each one.
Go paperless!
Don’t want to wait for the mail? Sign up to receive your EOBs digitally within your Blueprint Portal account. You’ll receive an email notification every time a new EOB is available to view.
Digital EOBs keep your claim details secure while giving you instant access. Sign in to or register for Blueprint Portal and opt in through the notification preferences page found in settings.
