Review a bill and EOB
When the provider already billed, review the bill and EOB. Medical lines may show typical rates; dental CDT needs a booklet, not TiC dollars.
Use Review a bill I already got when the provider submitted to insurance and you have a bill, an EOB, or both. This is a case folder, not a second filing. Member-filed packets still start from the Claims journey.
When to review instead of file
- You received a provider bill after an in-network (or billed) visit and want to know if you should pay.
- An EOB (explanation of benefits) is in hand or on the way.
- The question is allowed amount, deductible applied, network status, NSA / surprise billing, or a billing hold.
How the review wizard works
- Start from Claims or chat
Dashboard → Claims → New claim, then Review a bill I already got. From chat, a Review this … bill and EOB card deep-links with purpose, type, and any pinned bill/EOB.
- Attach documents
The bill is required; the EOB is strongly recommended. There is no “already submitted to the other plan” COB checkbox on this path.
- Confirm who and which plan
Pick the patient and the selected Coverage plan named on the EOB. Review tracks one primary plan only.
- Check facts, then contact the plan
Confirm extracted amounts and, for medical CPT/HCPCS, the billed-vs-typical check. Dental CDT uses booklet class coinsurance (or Care costs Find booklet) instead of medical typical dollars. Open this review saves the case under Needs your input. On the claim, Contact your plan has portal and copy-ready inquiry—not a mailer packet.
FAQ
- Does review file a new claim with my insurer?
No. Review tracks a visit the provider already billed. Filing a member packet is a separate purpose.
- Why can’t I mark this ready to submit?
Ready to submit and Submitted are for member-filed packets. Review uses Info needed, Paid, Appealed, and Closed.
- Does review compare a dental crown to typical dentist fees?
No. Medical CPT/HCPCS can show billed vs typical Transparency-in-Coverage rates. Dental CDT uses booklet class coinsurance. If the booklet is missing, open Care costs → Find booklet from Inbox.