What is an EOB in TRICARE?

An Explanation of Benefits (EOB) is a document sent by TRICARE or its regional contractor after healthcare services are processed, detailing what was billed, what TRICARE paid, and what the beneficiary may owe. The EOB is not a bill but rather an informational statement that helps beneficiaries understand how their claims were processed. Key information on an EOB includes the date of service, the provider's name, the services or procedures performed, the total amount billed by the provider, the TRICARE-allowed amount, the amount TRICARE paid, any deductible or copay amounts applied, and the beneficiary's remaining responsibility. Beneficiaries should review their EOBs carefully to verify that the services listed were actually received, the amounts appear correct, and any cost-shares are accurately calculated. If there is a discrepancy, beneficiaries can contact their regional contractor to dispute the claim. EOBs are available online through the beneficiary's account on the regional contractor website or through milConnect.