X12 Ingest & Denial Analytics

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Members›policy B09M000456›NADIA BAKER

NADIA BAKER

Dependent on policy B09M000456

Claims
3
Attributed to this person
Charged
1,375.00
Total submitted
Denied
382.00
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
NameNADIA BAKER
Role on the policyDependent · relationship 01
PolicyB09M000456
Date of birth8 Aug 1985
PlanBRONZE EPO
Covered from17 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000191921 Aug 2026737.00MERIDIAN HEALTH PLANNot denied—
CLM000191815 Aug 2025256.00MERIDIAN HEALTH PLANNot denied—
CLM00019174 Nov 2024382.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY382.00