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 B08M000265›ZARA MURPHY

ZARA MURPHY

Subscriber on policy B08M000265

Claims
1
Attributed to this person
Charged
206.00
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
NameZARA MURPHY
Role on the policySubscriber
PolicyB08M000265
Date of birth31 Jan 1985
PlanBRONZE EPO
Covered from4 Feb 2025
Covered to29 Apr 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00012025 Mar 2025206.00MERIDIAN HEALTH PLANNot denied—