X12 Ingest & Denial Analytics

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B02M000457›MARCUS MURPHY

MARCUS MURPHY

Subscriber on policy B02M000457

Claims
2
Attributed to this person
Charged
1,156.00
Total submitted
Denied
422.00
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
NameMARCUS MURPHY
Role on the policySubscriber
PolicyB02M000457
Date of birth21 Mar 1964
PlanPLATINUM PPO
Covered from2 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000195127 Sep 2025422.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY422.00
CLM000195212 Jul 2025734.00MERIDIAN HEALTH PLANNot denied—