X12 Ingest & Denial Analytics

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Members›policy B07M000012›FIONA KUMAR

FIONA KUMAR

Subscriber on policy B07M000012

Claims
1
Attributed to this person
Charged
402.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
0.00
Reported on the 835

Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.

Who this is

FieldValue
NameFIONA KUMAR
Role on the policySubscriber
PolicyB07M000012
Date of birth3 Aug 1990
PlanBRONZE EPO
Covered from5 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000006522 Jan 2025402.00MERIDIAN HEALTH PLANNot denied—