CPB Certified Professional Biller Certification Practice Exam

Disable ads (and more) with a membership for a one time $2.99 payment

Prepare for the CPB Certification with flashcards and multiple-choice questions. Each question comes with helpful hints and explanations. Ace your exam confidently with our resources!

Each practice test/flash card set has 50 randomly selected questions from a bank of over 500. You'll get a new set of questions each time!

Practice this question and more.


Which of the following is NOT typically included in an Explanation of Benefits?

  1. Claim status

  2. Provider's contact information

  3. Amount covered by insurance

  4. Patient's deductible balance

The correct answer is: Provider's contact information

In an Explanation of Benefits (EOB), it is essential to clearly outline the details related to claims processing and payments made by the insurer on behalf of the patient. The items typically included in an EOB are focused on the financial aspects and status of the claim. Claim status provides information on whether the claim was approved, denied, or is pending, which helps patients understand where their claim stands in the payment process. The amount covered by insurance informs the patient about how much of the total billed amount is covered by their health plan, which is crucial for understanding financial responsibility. Additionally, the patient's deductible balance indicates how much the patient has left to pay before their insurance begins to cover costs, which is important for budgeting and financial planning. On the other hand, while having the provider's contact information can be useful for patients, it is not a standard element found in an EOB. EOBs focus primarily on claims and payment details, rather than providing direct contact details for the provider. Thus, it is the provider's contact information that is not typically included in an EOB, making this option the correct answer in this context.