How long must a physician practice maintain explanation of benefits from insurance companies including eras

Asked over 5 years ago - Greensboro, NC

needing to advise physician practices of the
legal guidelines of keeping eobs and because many of the eobs are now accessed by electronic means, is the practice still responsible for keeping those in some form for a number of years

Attorney answers (1)

  1. Guy Scott DiMartino

    Contributor Level 13

    Answered . I do not practice in NC so I can only provide general information. Every state has a medical records retention law. You need to look at the law and see how it defines medical information. If billing info is considered medical info, then the physicians should probably retain the eobs just to be safe.

    On the other hand, healthcare providers could take the position that eobs are not part of the medical or billing record because they are created by a third party payor.

    Finally, healthcare providers may also want to review their contracts with third party payors to see if they require an additional retention.

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