EOMB

The EOMB (Explanation of Medical Benefits) file is used to record the reason(s) an invoice is rejected or adjusted by an insurer, or to clarify a payment in any other way.

Use this section only if the EOMB applies to the entire invoice. For EOMBs that apply to specific charge detail lines, specify the EOMB on the detail line at the time you apply the receipt, see Applying Receipts and Adjustments. You may also prefer this latter approach simply because the EOMB information is then readily visible on the Line Item Summary screen.

If you use SYSTOC_EDI for coordination of benefits, EOMB codes must be applied to each line item in a special way. See Applying EOMB Codes for Billing Secondary Payers (SYSTOC_EDI) for details.



Label Description
Invoice # Invoice to which EOMB code is applied.
EOMB code Explanation of Medical Benefits code being applied to this invoice. This is an F5 Lookup field; select the appropriate code or add a new one if needed.
Date Date EOMB code is applied.