A provider receives reimbursement from a third-party payer accompanied by which document?

A provider receives reimbursement from a third-party payer accompanied by which document?

• A. EOB
• B. Remittance advice
• C. Check stub
• D. Payment voucher

Answer: (A)

Remittance advice is the document that accompanies reimbursement from a third-party payer to a provider. It details how each claim was processed—what was billed, what was allowed, the actual payment, any adjustments or denials, and the reason codes. This information lets the provider post the payment accurately and reconcile the accounts. An Explanation of Benefits is typically sent to the patient to show benefits usage and patient responsibility, not the provider’s payment details. The check stub shows basic payment information from the payer, and a payment voucher isn’t the standard communication for claim-level payment details.

Remittance advice is the document that accompanies reimbursement from a third-party payer to a provider. It details how each claim was processed—what was billed, what was allowed, the actual payment, any adjustments or denials, and the reason codes. This information lets the provider post the payment accurately and reconcile the accounts. An Explanation of Benefits is typically sent to the patient to show benefits usage and patient responsibility, not the provider’s payment details. The check stub shows basic payment information from the payer, and a payment voucher isn’t the standard communication for claim-level payment details.