X12 Ingest & Denial Analytics

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Members›policy B03M000058›OMAR BAKER

OMAR BAKER

Dependent on policy B03M000058

Claims
3
Attributed to this person
Charged
1,178.00
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
NameOMAR BAKER
Role on the policyDependent · relationship 01
PolicyB03M000058
Date of birth14 Sep 1965
PlanGOLD PPO
Covered from26 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000024913 Feb 2026241.00MERIDIAN HEALTH PLANNot denied—
CLM00002482 Feb 2026154.00MERIDIAN HEALTH PLANNot denied—
CLM000025028 Jun 2024783.00MERIDIAN HEALTH PLANNot denied—