X12 Ingest & Denial Analytics

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Members›policy B07M000218›LEILA JOHNSON

LEILA JOHNSON

Subscriber on policy B07M000218

Claims
2
Attributed to this person
Charged
480.00
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
NameLEILA JOHNSON
Role on the policySubscriber
PolicyB07M000218
Date of birth15 May 1981
PlanGOLD PPO
Covered from30 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000091112 Nov 2025397.00MERIDIAN HEALTH PLANNot denied—
CLM00009127 Dec 202483.00MERIDIAN HEALTH PLANNot denied—