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 B08M000306›YUSUF MURPHY

YUSUF MURPHY

Dependent on policy B08M000306

Claims
1
Attributed to this person
Charged
258.00
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
NameYUSUF MURPHY
Role on the policyDependent · relationship 01
PolicyB08M000306
Date of birth16 Nov 1966
PlanSILVER HMO
Covered from31 Dec 2024
Covered to13 Oct 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000142021 May 2025258.00MERIDIAN HEALTH PLANNot denied—