X12 Ingest & Denial Analytics

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Members›policy B02M000059›BRIAN WILSON

BRIAN WILSON

Dependent on policy B02M000059

Claims
2
Attributed to this person
Charged
941.00
Total submitted
Denied
0.00
0 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
NameBRIAN WILSON
Role on the policyDependent · relationship 01
PolicyB02M000059
Date of birth21 Apr 1979
PlanSILVER HMO
Covered from1 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000028025 Jan 2026694.00MERIDIAN HEALTH PLANNot denied—
CLM000028112 Jan 2026247.00MERIDIAN HEALTH PLANNot denied—