X12 Ingest & Denial Analytics

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Members›policy B04M000268›RAVI QUINN

RAVI QUINN

Dependent on policy B04M000268

Claims
3
Attributed to this person
Charged
1,384.00
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
NameRAVI QUINN
Role on the policyDependent · relationship 01
PolicyB04M000268
Date of birth14 Feb 1959
PlanPLATINUM PPO
Covered from30 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011551 Feb 2026343.00MERIDIAN HEALTH PLANNot denied—
CLM000115711 Nov 2025394.00MERIDIAN HEALTH PLANNot denied—
CLM000115627 Apr 2025647.00MERIDIAN HEALTH PLANNot denied—