X12 Ingest & Denial Analytics

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Members›policy B05M000351›LEILA WILSON

LEILA WILSON

Subscriber on policy B05M000351

Claims
2
Attributed to this person
Charged
637.00
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
NameLEILA WILSON
Role on the policySubscriber
PolicyB05M000351
Date of birth14 Jun 1951
PlanGOLD PPO
Covered from20 Dec 2024
Covered to10 Oct 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00014998 Aug 202581.00MERIDIAN HEALTH PLANNot denied—
CLM000149810 Mar 2025556.00MERIDIAN HEALTH PLANNot denied—