If you recently uploaded an Explanation of Benefits (EOB) or an itemized receipt to submit a claim and saw a message flagging a potential issue, your document was reviewed by a feature called EOB Analyzer. This review happens automatically in the background when using our Smart Claims tool to file a claim.
Why you received this message: To help protect your tax-advantaged funds, our system automatically uses AI to review your uploaded medical documents for common billing errors. The message you received simply means we noticed a potential mismatch between what was billed, what your insurance covered, and your final amount owed.
How this impacts your claim: This message is purely informational and does not negatively affect your claim submission. Flagging a potential inconsistency will not reject, hold, or change your claim in any way. Your reimbursement request will continue processing normally.
What you need to do next: You should review the flagged document closely to determine if the charges are accurate. If you suspect a billing error, you will need to reach out directly to your healthcare provider or insurance carrier to ask questions and request that the bill be corrected. Lively provides this alert to give you the information you need to advocate for yourself, but we cannot intervene, contact the provider, or negotiate the bill on your behalf.
Note: The EOB Analyzer is an informational tool provided to help you make informed spending decisions. Lively does not provide financial or legal advice regarding medical billing disputes. Please consult your healthcare provider or insurance carrier directly to resolve any discrepancies.
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