X12 Ingest & Denial Analytics

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Members›policy B06M000032›UMA WILSON

UMA WILSON

Dependent on policy B06M000032

Claims
3
Attributed to this person
Charged
1,455.00
Total submitted
Denied
124.50
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
NameUMA WILSON
Role on the policyDependent · relationship 19
PolicyB06M000032
Date of birth20 Jun 2010
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
CLM00001912 Mar 2026417.00MERIDIAN HEALTH PLANCARC 11 · CODING124.50
CLM000019012 Dec 2025545.00MERIDIAN HEALTH PLANNot denied—
CLM000018927 Jul 2024493.00MERIDIAN HEALTH PLANNot denied—