X12 Ingest & Denial Analytics

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Members›policy B08M000018›DAVID PATEL

DAVID PATEL

Subscriber on policy B08M000018

Claims
3
Attributed to this person
Charged
1,721.00
Total submitted
Denied
620.00
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
NameDAVID PATEL
Role on the policySubscriber
PolicyB08M000018
Date of birth12 Jul 1999
PlanPLATINUM PPO
Covered from25 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000007319 Dec 2025376.00MERIDIAN HEALTH PLANNot denied—
CLM000007412 Nov 2025725.00MERIDIAN HEALTH PLANNot denied—
CLM00000727 Mar 2025620.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY620.00