Epic Resolute Professional Billing (PB) Fundamentals Practice Exam 2025 - Free PB Billing Practice Questions and Study Guide

The allowed amount on the Explanation of Benefits (EOB) represents the maximum amount that an insurance company agrees to pay for a particular service or procedure after adjustments, discounts, or contractual agreements. It is essential for billing accuracy to ensure that the amount recorded on the Insurance Payment Posting form aligns with the figure on the EOB.

When there is a discrepancy, it is crucial to update the payment posting to reflect the correct allowed amount as stated in the EOB. Keeping accurate records maintains the integrity of financial documentation and aids in the appropriate management of claims, as mistakes in this area can lead to issues with future billing, potential audits, and reimbursement delays. Aligning the payment with the EOB also ensures compliance with insurance regulations and avoids possible disputes with payers about payment amounts.

Thus, changing the posting to match the EOB is necessary to uphold accurate and compliant billing practices.