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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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