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 B01M000182›FIONA QUINN

FIONA QUINN

Dependent on policy B01M000182

Claims
1
Attributed to this person
Charged
588.00
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
NameFIONA QUINN
Role on the policyDependent · relationship 19
PolicyB01M000182
Date of birth27 May 2016
PlanBRONZE EPO
Covered from7 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000077526 Jan 2024588.00MERIDIAN HEALTH PLANNot denied—