X12 Ingest & Denial Analytics

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Members›policy B07M000227›TOMAS WILSON

TOMAS WILSON

Dependent on policy B07M000227

Claims
2
Attributed to this person
Charged
713.00
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
NameTOMAS WILSON
Role on the policyDependent · relationship 19
PolicyB07M000227
Date of birth8 Oct 2009
PlanPLATINUM PPO
Covered from17 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000096121 Feb 2026568.00MERIDIAN HEALTH PLANNot denied—
CLM000096217 Mar 2025145.00MERIDIAN HEALTH PLANNot denied—