X12 Ingest & Denial Analytics

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Members›policy B06M000032›CARLA WILSON

CARLA WILSON

Dependent on policy B06M000032

Claims
2
Attributed to this person
Charged
1,377.00
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
NameCARLA WILSON
Role on the policyDependent · relationship 01
PolicyB06M000032
Date of birth28 Aug 1993
PlanBRONZE EPO
Covered from17 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000018527 Aug 2026664.00MERIDIAN HEALTH PLANNot denied—
CLM000018411 Mar 2026713.00MERIDIAN HEALTH PLANNot denied—