X12 Ingest & Denial Analytics

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Members›policy B10M000374›YUSUF MURPHY

YUSUF MURPHY

Subscriber on policy B10M000374

Claims
2
Attributed to this person
Charged
1,658.00
Total submitted
Denied
854.00
2 denied claims
Patient responsibility
522.60
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 MURPHY
Role on the policySubscriber
PolicyB10M000374
Date of birth12 Jul 1950
PlanBRONZE EPO
Covered from18 Sep 2024
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 50 · Other1522.60
Total522.60

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00015549 Mar 2026854.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE854.00
CLM000155331 Aug 2024804.00MERIDIAN HEALTH PLANCARC 50 · MEDICAL_NECESSITY0.00