The Oklahoma Insurance Department Medicare Assistance Program has provided this free resource to keep track of your medical appointments, screenings, prescriptions, and other information. Stay organized and prevent Medicare fraud by comparing this journal with your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB).
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Healthcare Journals are only available to Oklahoma residents. We are unable to send Healthcare Journals outside of the State of Oklahoma.
Healthcare Journals are available in both English and Spanish.
DIRECTIONS FOR USING YOUR PERSONAL JOURNAL
- Take this journal with you to your medical appointments.
- Record information from your appointments in this journal. Include:
- The date, length of visit (such as 5, 15, 30, or 45 minutes), medical provider, and reason for the visit.
- The names of the tests (such as X-rays, blood drawn, urine testing, ultrasound, and checked weight, height, and blood pressure), equipment, or prescriptions.
- When your Medicare Summary Notice (MSN) or Explanation of Benefits (EOB) arrives, compare the information.
Place a check mark to the right of the entry ONLY if:- The date, length of visit, medical provider, and reason for the visit match the MSN or EOB.
- The names of the tests, equipment, or prescriptions on the MSN or EOB are the same names that you recorded in your journal.
- Contact your provider or MAP office if:
- You need assistance comparing your completed journal with your MSN or EOB.
- You’ve completed your comparison and identified boxes for which there are no check marks.
- There are charges on your MSN or EOB for visits, tests, equipment, or prescriptions you didn’t receive or were not ordered by your doctor.
- You were billed twice for the same visit, test, equipment, or prescription.