X12 Ingest & Denial Analytics

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Members›policy B01M000243›RAVI FOSTER

RAVI FOSTER

Dependent on policy B01M000243

Claims
2
Attributed to this person
Charged
604.00
Total submitted
Denied
304.00
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
NameRAVI FOSTER
Role on the policyDependent · relationship 01
PolicyB01M000243
Date of birth6 Feb 1987
PlanSILVER HMO
Covered from5 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000103019 Dec 2025300.00MERIDIAN HEALTH PLANNot denied—
CLM000102924 Jul 2025304.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION304.00