X12 Ingest & Denial Analytics

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Members›policy B09M000123›PRIYA WILSON

PRIYA WILSON

Subscriber on policy B09M000123

Claims
2
Attributed to this person
Charged
1,276.00
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
NamePRIYA WILSON
Role on the policySubscriber
PolicyB09M000123
Date of birth21 Apr 1990
PlanSILVER HMO
Covered from12 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000050428 Dec 2025734.00MERIDIAN HEALTH PLANNot denied—
CLM00005059 Sep 2025542.00MERIDIAN HEALTH PLANNot denied—