Explanation of Benefits

Statement showing how TRICARE processed your claim.

An Explanation of Benefits (EOB) is a detailed statement from TRICARE that explains how your claim was processed and what you may owe. It's not a bill—it's an informational document showing the breakdown of services, charges, and TRICARE's payment.

What an EOB includes: • Date and type of service received • Provider name and information • Amount charged by the provider • TRICARE-allowable charge • Amount TRICARE paid • Your cost-share or copay • Amount you may owe the provider • Claim processing date

How to read your EOB 1. Verify the services match what you received 2. Check that provider information is correct 3. Compare billed amount to allowable charge 4. Note what TRICARE paid and what you owe 5. Look for denial codes if applicable

You'll receive an EOB after most healthcare visits (except at Military Treatment Facilities). Review EOBs carefully and compare them to bills from your provider. If you find discrepancies or have questions, contact your regional contractor.

Keep your EOBs for tax purposes and personal records. They're available online through your beneficiary portal and are typically mailed within 30 days of claim processing.