X12 Ingest & Denial Analytics

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Members›policy B08M000294›SOFIA GARCIA

SOFIA GARCIA

Dependent on policy B08M000294

Claims
3
Attributed to this person
Charged
992.00
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
NameSOFIA GARCIA
Role on the policyDependent · relationship 19
PolicyB08M000294
Date of birth30 Apr 2015
PlanSILVER HMO
Covered from13 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000136015 Jun 2026124.00MERIDIAN HEALTH PLANNot denied—
CLM000135914 Feb 2026591.00MERIDIAN HEALTH PLANNot denied—
CLM000136112 Jan 2026277.00MERIDIAN HEALTH PLANNot denied—