X12 Ingest & Denial Analytics

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Members›policy B07M000473›SOFIA QUINN

SOFIA QUINN

Subscriber on policy B07M000473

Claims
3
Attributed to this person
Charged
527.00
Total submitted
Denied
62.00
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
NameSOFIA QUINN
Role on the policySubscriber
PolicyB07M000473
Date of birth28 Dec 1999
PlanSILVER HMO
Covered from4 Jun 2025
Covered to14 Mar 2026

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000200417 Apr 202662.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY62.00
CLM000200528 Oct 2025350.00MERIDIAN HEALTH PLANNot denied—
CLM000200329 Jun 2025115.00MERIDIAN HEALTH PLANNot denied—