What is a reimbursement summary?

A reimbursement summary is a document that is used to summarize the reimbursement process between a health insurance company and a patient. This document is required in Arizona for all health care services that are not self-insured. The reimbursement summary identifies the patient’s name, the date of service, diagnosis codes, the billed amount, the amount paid by the insurance company, and the amount paid by the patient. It also includes the insurance company’s policy number, the insurance company’s Explanation of Benefits (EOB) and the provider’s Response of Benefits (ROB). This document is used to make sure that insurance companies meet the financial obligations outlined in the insurance policy. It is also used to ensure that providers are reimbursed for services that have already been provided to patients. The reimbursement summary helps to ensure that the health insurance provider is compliant with state and federal laws. Additionally, it provides a record of all reimbursements and payments made throughout the process.

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