What is an Explanation of Sharing (EOS)?

It is a notice sent to a member detailing the eligibility status of a bill.

An EOS is a notice sent to a member detailing the following:

  • The eligibility status of a bill.
  • Any discounted amounts.
  • The portion of the remaining Charge Amount that has been Shared.
  • The remaining amount to be paid by the member.
  • Reason Code/Description indicating reason for ineligibility or listing documents required to assess eligibility.