X12 Ingest & Denial Analytics

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Members›policy B07M000110›TOMAS FOSTER

TOMAS FOSTER

Dependent on policy B07M000110

Claims
3
Attributed to this person
Charged
1,416.00
Total submitted
Denied
126.83
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
NameTOMAS FOSTER
Role on the policyDependent · relationship 01
PolicyB07M000110
Date of birth10 Nov 1944
PlanGOLD PPO
Covered from15 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000045123 Aug 2026471.00MERIDIAN HEALTH PLANCARC 11 · CODING126.83
CLM00004507 Mar 2026113.00MERIDIAN HEALTH PLANNot denied—
CLM000045227 Jan 2025832.00MERIDIAN HEALTH PLANNot denied—