X12 Ingest & Denial Analytics

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Members›policy B04M000329›PRIYA QUINN

PRIYA QUINN

Dependent on policy B04M000329

Claims
2
Attributed to this person
Charged
506.00
Total submitted
Denied
356.00
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
NamePRIYA QUINN
Role on the policyDependent · relationship 19
PolicyB04M000329
Date of birth3 Aug 2019
PlanPLATINUM PPO
Covered from10 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00014389 May 2026150.00MERIDIAN HEALTH PLANNot denied—
CLM00014379 Apr 2025356.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION356.00