X12 Ingest & Denial Analytics

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Members›policy B07M000074›YUSUF WILSON

YUSUF WILSON

Dependent on policy B07M000074

Claims
3
Attributed to this person
Charged
1,696.00
Total submitted
Denied
543.00
1 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
NameYUSUF WILSON
Role on the policyDependent · relationship 01
PolicyB07M000074
Date of birth11 May 1960
PlanSILVER HMO
Covered from8 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00003154 Mar 2026578.00MERIDIAN HEALTH PLANNot denied—
CLM000031420 Jul 2025575.00MERIDIAN HEALTH PLANNot denied—
CLM000031623 Feb 2025543.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY543.00