Generate explanation of benefits

Trigger: A medical claim reaches a final adjudicated state within the core administration system.

1. Extract adjudicated claim data and benefit plan details
2. Calculate patient responsibility including deductibles, copays, and coinsurance
3. Map adjustment reason codes to plain-language explanations
4. Format data into standard digital or print EOB templates
5. Dispatch the formatted EOB to print vendors or member portals

Outcome: An Explanation of Benefits document detailing coverage, patient responsibility, and payment rationale is delivered to the member.