X12 Ingest & Denial Analytics

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Members›policy B08M000099›LEILA WILSON

LEILA WILSON

Subscriber on policy B08M000099

Claims
3
Attributed to this person
Charged
1,314.00
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 WILSON
Role on the policySubscriber
PolicyB08M000099
Date of birth3 Feb 1956
PlanPLATINUM PPO
Covered from31 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00004359 Jul 2026802.00MERIDIAN HEALTH PLANNot denied—
CLM000043315 Jan 2025202.00MERIDIAN HEALTH PLANNot denied—
CLM000043421 Oct 2024310.00MERIDIAN HEALTH PLANNot denied—