What is the difference between an EOB and an RA?

Asked by: Ms. Millie Kris  |  Last update: April 18, 2025
Score: 4.9/5 (63 votes)

Timing: The RA is generated and sent to the provider after the claim has been processed and payment decisions have been made. On the other hand, the EOB is usually sent to the patient shortly after the claim has been processed by the insurance company.

What is an RA in medical billing?

Remittance advice (RA) is a document (either paper or electronic) sent by an insurance payer that details how they processed a medical claim. In simpler terms, it's a breakdown of what the insurance company decided to pay for and why.

What is the meaning of RA in insurance?

Revenue Assurance (RA) provides coverage to protect against loss of revenue caused by low prices or low yields or a combination of both.

What does RA stand for in billing?

Remittance Advice (RA) Once a claim has been processed, a Remittance Advice (RA) is issued in either Standard Paper Remittance (SPR) or Electronic Remittance Advice (ERA). An RA provides finalized claim details and contains explanatory claim processing message codes.

Is RA the same as EOB?

Recipient: The RA is sent to the healthcare provider or billing entity, whereas the EOB is typically sent to the patient or the policyholder.

What is a EOB and a ERA..?

18 related questions found

What is RA in simple terms?

Rheumatoid arthritis (RA) is a chronic (long-lasting) autoimmune disease that mostly affects joints. RA occurs when the immune system, which normally helps protect the body from infection and disease, attacks its own tissues. The disease causes pain, swelling, stiffness, and loss of function in joints.

What does an RA stand for?

A resident assistant (RA), also known by a variety of other names, is a trained peer leader who coordinates activities in residence halls in colleges and universities, mental health and substance abuse residential facilities, or similar establishments. Resident Assistant.

Is a remit the same as an EOB?

The content of the remittance advice and the explanation of benefits is nearly identical with the exception of a few minor items. Both statements contain information regarding the patient, the service provider and any adjustments made to any claims.

What is an example of a risk adjustment?

Risk adjustment methods vary across payers and programs. For example, state Medicaid managed care programs choose which statistical model to apply, which patient health factors to consider, how frequently risk scores are updated, and how to account for new enrollees without documented health information.

What is RA billing?

Due to the nature of civil construction, work might take a few years. Therein case the concept of Running account Bill has acquired an image. Running Account Bill also called R.A bill, means a bill for the payment to be created to the contractor on a running account.

What does RA stand for in healthcare?

Rheumatoid arthritis (RA) is a disease that leads to inflammation of the joints and surrounding tissues. It is a long-term disease.

What is an RA responsible for?

A resident advisor, or RA, is usually an upperclassman who lives on campus and serves as a mentor for newer students. They're tasked with enforcing dorm rules and creating a safe, inclusive environment. Most RAs receive free or discounted room and board, among other perks.

Have an EOB but no bill?

If you have insurance

An EOB is not a bill. An EOB is a summary of the care that you received and shows the amount your insurer is billed, how much your insurance will pay for that care, and the amount that you will owe.

Why is there so much information contained on a RA or EOB form?

Thus, when insurance companies send RAs and EOBs, these are provided with complete information to let the medical facility and clients/patients understand fully what charges are covered, what is denied, and what payments do the patients still owe.

Who creates a summary plan description?

Your insurance company typically doesn't provide the ERISA-compliant plan document or SPD. This is the responsibility of the plan administrator. However, insurance companies often provide other information and comments that can help you create an SPD.

What is a RA in medical billing?

The RA (Remittance Advice) provides important information about the processing of claims and adjustment requests as well as additional financial transactions such as refunds or recoupment amounts withheld.

What is another name for an EOB?

An explanation of benefits (EOB) shows you the total charges for your visit. An explanation of benefits isn't a bill. It helps you understand how much your health plan covers, and what you'll pay when you get a bill from your provider.

Does a bill come after an EOB?

So, no, you shouldn't pay anything yet. It's a report of what your insurance plan is going to cover, based on the care you received, and your health plan benefits for that care. If there's an amount you owe noted on the EOB, you will receive a separate bill from your doctor for the portion that you need to pay.

Do RA get paid?

Do you get paid to be an RA? Depending on the college, you may get paid to be an RA. Many schools pay RAs an hourly wage or flat salary, which may come with additional perks like meal plan credits, a laundry stipend, and a single-occupancy room. Commonly, RAs get a full waiver for room and board.

What does RA stand for in emergency response?

If it's in the city of Los Angeles, “R.A.” is short for Rescue Ambulace.. i.e. an LAFD Paramedic unit. So if you hear an LAPD officer asking for an “RA”, he or she is asking for paramedics.

What does my RA mean?

Rheumatoid Arthritis. Rheumatoid arthritis is a type of arthritis where your immune system attacks the tissue lining the joints on both sides of your body. It may affect other parts of your body, too. The exact cause is unknown.

What are the 4 types of RA?

What are the different types of rheumatoid arthritis disease? Different types of rheumatoid arthritis disease include seropositive RA (with specific antibodies), seronegative RA (lacking those antibodies), and juvenile idiopathic arthritis affecting children.

What is the meaning of the RA?

Definitions of Ra. noun. ancient Egyptian sun god with the head of a hawk; a universal creator; he merged with the god Amen as Amen-Ra to become the king of the gods.