What form describes benefits to the patient and the provider with accompanying payment or denial of payment?

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The Explanation of Benefits (EOB) form describes the benefits to the patient and the provider with accompanying payment or denial of payment. It is typically generated by an insurance company or third-party payer after a dental claim has been processed. The Dental Fee Slip and Dental Claim Form may provide information about the services provided, but they do not indicate payment or denial of payment. The Utilization Review Form may be used to evaluate the necessity and appropriateness of dental treatment, but it does not include information about payment.

What Form Describes Benefits to the Patient and the Provider