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 B04M000157›IVAN MURPHY

IVAN MURPHY

Subscriber on policy B04M000157

Claims
3
Attributed to this person
Charged
1,153.00
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
NameIVAN MURPHY
Role on the policySubscriber
PolicyB04M000157
Date of birth18 Dec 1953
PlanGOLD PPO
Covered from28 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000072214 May 2026764.00MERIDIAN HEALTH PLANNot denied—
CLM000072027 Dec 2024246.00MERIDIAN HEALTH PLANNot denied—
CLM000072120 Aug 2024143.00MERIDIAN HEALTH PLANNot denied—