X12 Ingest & Denial Analytics

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B05M000171›FIONA MURPHY

FIONA MURPHY

Subscriber on policy B05M000171

Claims
1
Attributed to this person
Charged
266.00
Total submitted
Denied
266.00
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 โ€” 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
NameFIONA MURPHY
Role on the policySubscriber
PolicyB05M000171
Date of birth4 Apr 1974
PlanBRONZE EPO
Covered from15 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000072411 Mar 2026266.00MERIDIAN HEALTH PLANCARC 27 ยท ELIGIBILITY266.00