X12 Ingest & Denial Analytics

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Members›policy B09M000024›PRIYA VARGAS

PRIYA VARGAS

Dependent on policy B09M000024

Claims
2
Attributed to this person
Charged
507.00
Total submitted
Denied
137.00
1 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
NamePRIYA VARGAS
Role on the policyDependent · relationship 01
PolicyB09M000024
Date of birth29 Sep 1961
PlanSILVER HMO
Covered from10 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00001033 May 2026370.00MERIDIAN HEALTH PLANNot denied—
CLM000010219 Apr 2025137.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY137.00