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 B08M000395›ELENA MURPHY

ELENA MURPHY

Subscriber on policy B08M000395

Claims
1
Attributed to this person
Charged
660.00
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
NameELENA MURPHY
Role on the policySubscriber
PolicyB08M000395
Date of birth30 Jul 1954
PlanPLATINUM PPO
Covered from3 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000180120 May 2026660.00MERIDIAN HEALTH PLANNot denied—