X12 Ingest & Denial Analytics

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Members›policy B06M000252›FIONA QUINN

FIONA QUINN

Subscriber on policy B06M000252

Claims
2
Attributed to this person
Charged
1,243.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
388.05
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
NameFIONA QUINN
Role on the policySubscriber
PolicyB06M000252
Date of birth5 Jun 1973
PlanBRONZE EPO
Covered from1 May 2024
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 96 · Other1388.05
Total388.05

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000119312 Aug 2026646.00MERIDIAN HEALTH PLANNot denied—
CLM000119222 Jun 2026597.00MERIDIAN HEALTH PLANCARC 96 · NON_COVERED0.00