SIMPLE

Health benefits · United States

Insurance benefits summary (EOB)

An explanation of benefits: what the insurer paid, what they did not, and what you may owe after a medical visit.

An official CMS sample explanation of benefits. This document is in the public domain. We use it to show the method; the simplification is ours.

Reading ease, 0 to 100 (higher is easier)

76Original
80Simple
100Very simple

01

The original

The document exactly as it was issued.

02

Simple

Plain words, with technical terms explained in place.

03

Very simple

Everyday words and worked examples only.