US · guidance
CMS Pub. 100-16, ch. 4, § 190
Part C Explanation of Benefits (EOB)
The Part C EOB is an ad hoc enrollee communication that provides MA enrollees with
clear and timely information about their medical claims to support informed decisions
about their healthcare options. MAOs are required to issue EOBs that include the
information reflected in the CMS-developed templates. For additional information,
please see the final templates and instructions at: http://www.cms.gov/Medicare/Health-
Plans/ManagedCareMarketing/MarketngModelsStandardDocumentsandEducationalMat
erial.html.
History
(Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
e403e1d38e0bf496c9fefcec2175db03def18ae90c9d57adbf7eb163dd12ed7a
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