EOR in Medical Billing
EOR stands for Explanation of Review, a document used by insurance companies to explain how a claim was reviewed and processed.
EOR in Medical Billing Explained
In medical billing, the Explanation of Review provides details on the adjudication of a claim, including any denials, reductions, or modifications made during the review process. It helps providers understand how the claim was evaluated and whether any corrections are needed.
For example, a provider may receive an EOR after a claim is partially denied, explaining the reason for the denial and the steps needed to appeal.
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