How to Understand Your Claim

When you receive health care services, the charges are submitted to BCBSWY and processed by us according to your benefit plan. This process generates a claim and an Explanation of Benefits (also called an EOB). An EOB is a document designed to help you understand how your claim was processed and how much of the charges are your responsibility. Check out the Explanation of Benefits Guide.

Your EOBs are available from your account at 

If you have questions about your claim, please contact Member Services at 800-442-2376. For steps to submit an appeal request, please refer to our Appeals Q & A.

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