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 B01M000190›IVAN MURPHY

IVAN MURPHY

Subscriber on policy B01M000190

Claims
2
Attributed to this person
Charged
1,760.00
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
NameIVAN MURPHY
Role on the policySubscriber
PolicyB01M000190
Date of birth2 May 1968
PlanBRONZE EPO
Covered from10 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000081416 Nov 2025893.00MERIDIAN HEALTH PLANNot denied—
CLM000081530 May 2025867.00MERIDIAN HEALTH PLANNot denied—