X12 Ingest & Denial Analytics

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Members›policy B01M000093›SOFIA NGUYEN

SOFIA NGUYEN

Dependent on policy B01M000093

Claims
1
Attributed to this person
Charged
112.00
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
NameSOFIA NGUYEN
Role on the policyDependent · relationship 01
PolicyB01M000093
Date of birth21 Dec 1969
PlanPLATINUM PPO
Covered from11 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00003666 Mar 2025112.00MERIDIAN HEALTH PLANNot denied—