X12 Ingest & Denial Analytics

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B08M000164›MARCUS QUINN

MARCUS QUINN

Subscriber on policy B08M000164

Claims
3
Attributed to this person
Charged
1,418.00
Total submitted
Denied
776.00
2 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
NameMARCUS QUINN
Role on the policySubscriber
PolicyB08M000164
Date of birth27 Jan 1993
PlanPLATINUM PPO
Covered from2 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00007529 Nov 2024269.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE269.00
CLM000075125 Sep 2024642.00MERIDIAN HEALTH PLANNot denied—
CLM000075021 Jun 2024507.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY507.00