Medicare EOB - Upload First

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Drag EOB Here or Click

EOB, ERA, Insurance Card - fills entire form

1. Payer & Patient (Auto-Filled)

Member ID / MBI

BIN

PCN

Patient Name

2. Claim Details (Auto-Filled)

Claim Number

Date of Service

Billed Amount

Plan Paid

3. Codes & Adjustments

CARC Code

RARC Code

Patient Responsibility

4. Review & Submit

EOB processed! Ready for Snowflake.