What does “claimed” and “paid” mean in the context of health insurance?

Question

For example: in my health insurance account under “claims” this is what I see for a recent visit:

Date Of Service:

05/27/2023

Status:

Processed

Claimed:

$454.95

Paid:

$156.65

When I go into explanation of benefits for this visit, it says patient balance is $39.16. How does that even relate to the above?

In: 0

Answer 1

Claimed is what the doctor charged. Paid is what the insurance company paid.

The difference between the two is either written off (ignored) by the doctor or up to you personally to pay.