X12 Ingest & Denial Analytics

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Members›policy B10M000049›YUSUF GARCIA

YUSUF GARCIA

Subscriber on policy B10M000049

Claims
3
Attributed to this person
Charged
1,583.00
Total submitted
Denied
224.00
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
NameYUSUF GARCIA
Role on the policySubscriber
PolicyB10M000049
Date of birth4 Nov 1989
PlanGOLD PPO
Covered from20 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000019128 Jun 2026610.00MERIDIAN HEALTH PLANNot denied—
CLM00001907 May 2026749.00MERIDIAN HEALTH PLANNot denied—
CLM00001929 May 2024224.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY224.00