X12 Ingest & Denial Analytics

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Members›policy B06M000366›TOMAS PATEL

TOMAS PATEL

Dependent on policy B06M000366

Claims
1
Attributed to this person
Charged
661.00
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
NameTOMAS PATEL
Role on the policyDependent · relationship 01
PolicyB06M000366
Date of birth16 Jan 1991
PlanBRONZE EPO
Covered from6 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000167021 Jul 2025661.00MERIDIAN HEALTH PLANNot denied—