Explanation of Benefits

Go Paperless!

You can avoid paper explanation of benefits (EOBs) and take advantage of your dental benefits by visiting the Member Portal. The Member Portal hosts member information indefinitely, and is secure and accessible 24/7.

When you’re in the Member Portal, you can sign up for paperless EOBs, view your claims information, find a dentist, print an ID card or view your benefits and eligibility. Don’t have an account? Registration is free and simple. Just follow these steps:

  1. Visit the Member Portal.
  2. Select Sign Up, and follow the prompts to register.
  3. Done! Now, you’ll have access to your dental benefits at your convenience.

FAQ

Do you have a question about your EOB? Read our frequently asked questions and their answers below!

Q: Where can I find my subscriber ID on the EOB?
A: Your subscriber ID is not listed on your EOB. For many, your subscriber ID is your Social Security number.

Q: Where can I find my current balance?
A: Your current balance is listed under the patient payment column. You should always make sure that the balance owed on the EOB matches what is due to the dentist.

Q: Is my EOB considered a bill?
A: No, your EOB is NOT a bill. The EOB explains what procedures were covered under your benefits plan, as well as any procedures that might not have been covered, and why they were not covered. Your dental office will bill you directly if you have a balance due for services following a visit.

Q: What do these codes mean?
A: On your paper EOB, you will have a description of service. However, in the Member Portal your EOB will instead list a procedure code. Click on the procedure code in the Member Portal to open a new window with a description of the procedure.

Q: Does the dental office receive an EOB or just me?
A: EOBs are sent to the dental office and member. EOBs are mailed directly to members following a dental visit, except when you do not owe a balance. If you do not owe a balance but would like to review your EOB, you can find it in the Member Portal.

Q: This is showing a patient account number. Is that my subscriber ID?
A: No, your patient account number is in reference to your account number with your dental office. Your subscriber ID is not listed on your EOB. For many, your subscriber ID is your Social Security number.

If you have questions about an EOB, please contact customer service at 800-955-2030.