In an effort to avoid member confusion and support the environment, Highmark will no longer automatically mail paper Explanation of Benefits (EOBs) to members for provider-submitted claims if the services are covered in full or if all the member owes is a copayment.
Many of our clients have told us how confusing it can be to receive EOBs, when they do not owe money for services and no action is required on their part. This change will deliver an improved member experience and help members to avoid unnecessary confusion.
Implementation dates are as follows:
- Fully-insured clients: May 9, 2016
- ASO clients: July 15, 2016