X12 Ingest & Denial Analytics

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Members›policy B06M000274›PRIYA HUGHES

PRIYA HUGHES

Subscriber on policy B06M000274

Claims
2
Attributed to this person
Charged
946.00
Total submitted
Denied
520.00
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
NamePRIYA HUGHES
Role on the policySubscriber
PolicyB06M000274
Date of birth1 Jun 1955
PlanSILVER HMO
Covered from8 Jul 2024
Covered to30 Nov 2024

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000128327 Jul 2024426.00MERIDIAN HEALTH PLANNot denied—
CLM000128216 Jul 2024520.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY520.00