Explanation of Medicare Benefits (EOMB)

Once a claim has completed processing, a Supplier Remittance Notice is generated for all providers that file assigned claims, whether they file paper or electronic claims. For those suppliers that file non-assigned claims, no Supplier Remittance Notice will be sent. Only the beneficiaries will receive notice of adjudication on non-assigned claims in the form of the Medicare Summary Notice. The Supplier Remittance Notice includes a list of all claims paid or denied during a particular payment period. Included with the Supplier Remittance Notice is the Medicare check for those claims that are approved for payment.

READING THE STANDARD PAPER REMITTANCE NOTICE:

One claim is listed in each block of the remittance, and is separated from other claims with a line.
Claims are listed in alphabetical order by beneficiary's last name.
The columnar dollar amount fields for each line of the claim are totaled down and are displayed in the CLAIM TOTALS fields. The lines cannot be totaled across.
ANSI group codes, Reason codes, Remark code and MOA codes are listed in the key at the end of the remittance.
At the end of the Suppler Remittance Notice, there is a TOTALS line that includes all claims on the remittance notice as well as offsets and other adjustments. The net pay field on this line equals the amount of the check

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