Explanation Of Benefits And Electronic Health Records

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Explanation of Benefits and Electronic Health Records Do healthcare policy holders have a right to know what they are paying for? Do people have a right to know if there is an infectious disease outbreak in their area? These are two examples of the questions being asked when it comes to Explanation of Benefit (EOB) statements and Electronic Health Records (EHRs). The Affordable Care Act (ACA) enacted in 2010, “Has extended coverage for young adults up to twenty-six years old on their parent’s private insurance plan” (Frerich, Garcia, Long et al 1818). EOB statements “Identify the patient, provider, type of care received, total charges for service, amount paid by insurance, and any financial obligation of the policyholder” (Slive and Cramer 383). EHRs contain the medical history of a patient, family history provided by the patient, and medicines taken by the patient. Although both EOB statements and EHRs trigger concerns of confidentiality, EOBs should be used based on the financial responsibility of the policyholder and because of the many ways EHRs benefit doctors and patients. In particular, policy holders (parents) are financially responsible for payment of care received on their plan and therefore should receive an EOB statement. Most insurance companies have policies in place that say the policy holder needs to be informed when services are serviced on their policy. According to Lauren Slive and Ryan Cramer, “The insurance company may be required under contract to

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