X12 Ingest & Denial Analytics

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Members›policy B02M000018›PRIYA WILSON

PRIYA WILSON

Subscriber on policy B02M000018

Claims
3
Attributed to this person
Charged
1,510.00
Total submitted
Denied
194.00
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
NamePRIYA WILSON
Role on the policySubscriber
PolicyB02M000018
Date of birth6 Feb 1968
PlanBRONZE EPO
Covered from19 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000010317 Jun 2026539.00MERIDIAN HEALTH PLANNot denied—
CLM000010212 Feb 2026194.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY194.00
CLM000010127 Sep 2024777.00MERIDIAN HEALTH PLANNot denied—