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Healthcare Billing Intelligence

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Streamline healthcare billing workflows. Extract claim details, allowed amounts, patient responsibility, deductibles applied, and payment information from EOBs. Automate payment posting and patient billing with structured insurance data.

eob.pdf

Viewer

JSON

eob_date

2024-03-15

insurance_company

Blue Cross Blue Shield

member

patient

provider

claim_number

CLM-2024-789456

Services

2 items

cpt_code

description

billed_amount

allowed_amount

insurance_paid

patient_responsibility

reason

99213

Office Visit - Established Patient

250

180

144

Copay

85025

Complete Blood Count

Fully covered

summary

total_billed: 335, total_allowed: 225, total_paid: 189, total_patient_owes: 36, deductible_applied: 0, deductible_remaining: 150

{ "eob_date": "2024-03-15", "insurance_company": "Blue Cross Blue Shield", "member": { "name": "Robert M. Johnson", "member_id": "BCB123456789", "group_number": "GRP-50001"}, "patient": { "name": "Robert M. Johnson", "date_of_service": "2024-02-20"}, "provider": { "name": "City Medical Associates", "npi": "1234567890"}, "claim_number": "CLM-2024-789456", "services": [ { "cpt_code": "99213", "description": "Office Visit - Established Patient", "billed_amount": 250, "allowed_amount": 180, "insurance_paid": 144, "patient_responsibility": 36, "reason": "Copay"}, { "cpt_code": "85025", "description": "Complete Blood Count", "billed_amount": 85, "allowed_amount": 45, "insurance_paid": 45, "patient_responsibility": 0, "reason": "Fully covered"} ], "summary": { "total_billed": 335, "total_allowed": 225, "total_paid": 189, "total_patient_owes": 36, "deductible_applied": 0, "deductible_remaining": 150 } }