X12 Ingest & Denial Analytics

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Members›policy B02M000427›FIONA JOHNSON

FIONA JOHNSON

Dependent on policy B02M000427

Claims
3
Attributed to this person
Charged
1,118.00
Total submitted
Denied
473.00
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
NameFIONA JOHNSON
Role on the policyDependent · relationship 19
PolicyB02M000427
Date of birth29 Aug 2007
PlanSILVER HMO
Covered from16 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000182826 Jul 2025498.00MERIDIAN HEALTH PLANNot denied—
CLM00018298 Mar 2025147.00MERIDIAN HEALTH PLANNot denied—
CLM000182724 Dec 2024473.00MERIDIAN HEALTH PLANCARC 50 · MEDICAL_NECESSITY473.00