X12 Ingest & Denial Analytics

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Members›policy B02M000137›RAVI KUMAR

RAVI KUMAR

Dependent on policy B02M000137

Claims
2
Attributed to this person
Charged
1,255.00
Total submitted
Denied
173.75
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 KUMAR
Role on the policyDependent · relationship 01
PolicyB02M000137
Date of birth21 Jul 1944
PlanGOLD PPO
Covered from5 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00006212 Apr 2026703.00MERIDIAN HEALTH PLANNot denied—
CLM000062219 Mar 2025552.00MERIDIAN HEALTH PLANCARC 11 · CODING173.75