Example of RSI Statement

The RSI Explanation of Benefits (EOB) RSI’s Explanation of Benefits (EOB) shows your final plan liabilities, as well as: • Patient name • Date of service • How much is owed • How much was paid • The provider from whom you will receive a bill • Where you are in your deductible to date Before you pay any medical bill, be sure it matches the RSI Explanation of Benefits If it’s red, read it! 17