X12 Ingest & Denial Analytics

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Members›policy B06M000379›DAVID VARGAS

DAVID VARGAS

Subscriber on policy B06M000379

Claims
2
Attributed to this person
Charged
834.00
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
NameDAVID VARGAS
Role on the policySubscriber
PolicyB06M000379
Date of birth23 Aug 2001
PlanBRONZE EPO
Covered from25 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000172715 Apr 2025597.00MERIDIAN HEALTH PLANNot denied—
CLM000172827 Aug 2024237.00MERIDIAN HEALTH PLANNot denied—