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 B02M000472›IVAN MURPHY

IVAN MURPHY

Subscriber on policy B02M000472

Claims
3
Attributed to this person
Charged
834.00
Total submitted
Denied
90.93
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
NameIVAN MURPHY
Role on the policySubscriber
PolicyB02M000472
Date of birth30 Jul 1958
PlanGOLD PPO
Covered from21 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00020079 Dec 2025150.00MERIDIAN HEALTH PLANNot denied—
CLM000200612 Jun 2025387.00MERIDIAN HEALTH PLANNot denied—
CLM00020086 May 2025297.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY90.93