Position on Content of Explanation of Benefits

This statement summarizes the American Dental Association’s (ADA) policies and positions about Explanation of Benefit (EOB) statements sent from third-party carriers to patients and dental offices. An EOB is a written statement to a beneficiary from a third-party payer after a claim has been adjudicated. The EOB indicates which benefit(s)/charge(s) are covered or not covered by the dental benefits plan. EOB language should be written in a clear and concise fashion to clearly communicate the benefits determination and payments made to beneficiaries and dentists alike.