X12 Ingest & Denial Analytics

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Members›policy B06M000252›OMAR QUINN

OMAR QUINN

Dependent on policy B06M000252

Claims
3
Attributed to this person
Charged
2,049.00
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
NameOMAR QUINN
Role on the policyDependent · relationship 19
PolicyB06M000252
Date of birth20 Feb 2014
PlanBRONZE EPO
Covered from1 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011975 Apr 2026836.00MERIDIAN HEALTH PLANNot denied—
CLM00011966 Feb 2026653.00MERIDIAN HEALTH PLANNot denied—
CLM000119819 May 2024560.00MERIDIAN HEALTH PLANNot denied—