X12 Ingest & Denial Analytics

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Members›policy B08M000073›CARLA MURPHY

CARLA MURPHY

Dependent on policy B08M000073

Claims
1
Attributed to this person
Charged
583.00
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
NameCARLA MURPHY
Role on the policyDependent · relationship 01
PolicyB08M000073
Date of birth30 Nov 2000
PlanGOLD PPO
Covered from24 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00003298 Aug 2026583.00MERIDIAN HEALTH PLANNot denied—