Claim Form 1
before viewing the status of your online account in My Account Assistant (log in at www.ebcflex.com). •emember to send appropriate claim documentation with your form that R substantiates the expenses you are submitting for reimbursement. Claim ... (EOB) or receipt. We will automatically :
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ConnectCenter - Change Healthcare
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www.uhc.comUnderstanding your Explanation of Benefits (EOB) 1 2 1. ientPat The name of the person who received the medical care. 2. Claims Summary Summary section shows the “math” with details on how much your plan pays, plan discounts, and how much you may owe your provider. Your EOB may look different depending on your plan.