What is an Episodic EOB?
An Episodic EOB consolidates multiple EOBs occurring over a set time period into one document, or episode of care, BRMS has set the time period to cover 21 business days. This means that every 21 business days, any EOB information related to your claims will be consolidated into one document for you to have on file.
How does it work?
Once a claim has been received for an individual member, the print data is held and aggregated for a period of time of 21 days. All individual claims will still process during the appropriate time period. PDF images of the individual claims will be available for review within the member portal at www.brmsclaims.com during the time period. Once the hold period has been met, the data is aggregated (organized by date of service) and the claim data is populated on an EOB and will be mailed to the Employee address on file with BRMS.
Will my information appear on the same EOB as my spouse or dependents?
No. Spouses and dependents will have separate Episodic EOBs. Episodic EOBs will condense multiple different EOBs into one easy to read document that covers all claims within that time period.
Why is BRMS moving to using Episodic EOBs?
BRMS is always looking for ways to help you better manage your health care. Episodic EOBs are more efficient and can help you stay organized by putting multiple EOB information together in one document. They are easy to read and understand, and reduce the amount of healthcare documents you may have to manage. Additionally, Episodic EOBs require less paper to create and send, which helps us be better stewards of the environment.
What if I don’t want to wait to see information on my EOB?
If you would like to see your EOBs as they are processed, you can log in to the BRMS member portal (www.brmsclaims.com) and electronic EOBs will still appear individually.