What should I do if the amount from my EOB doesn’t match the amount my hospital is billing me?


Medical billing mistakes happen. If the amount on your Explanation of Benefits (EOB) doesn't match the bill from your health care provider:

  • Request an itemized bill from your health care provider.
  • Compare the Current Procedural Terminology (CPT) codes, codes used to describe the services, from your EOB against your medical bill line-by-line and make sure that they match.
  • Check the EOB and your bill for duplicate charges.
  • Call your health care provider and ask them to review the bill and make sure it includes the services that they ordered and that you received.  Sometimes a provider bills for more expensive services than what was received.
  • Contact your health insurance company and the finance department at the hospital or medical facility to ask about the differences in the bills.
  • If you were denied health insurance coverage for a service, learn about what to do if your claim is denied here: /guide/question/what-do-i-do-if-my-claim-denied