DenialIntel

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Members›policy B08M000258

Policy B08M000258

4 people enrolled on this policy.

People
4
On this policy
Claims attributed
8
To a named person
Policy-level
0
Not attributed to a person

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.

People on this policy

NameRoleBornClaimsDenialsDeniedPatient responsibility (835)
VICTOR MURPHYSubscriber20 Dec 1987100.000.00
TOMAS MURPHYDependent · 0124 Feb 1990200.000.00
OMAR MURPHYDependent · 197 Oct 200931620.000.00
YUSUF MURPHYDependent · 1911 Aug 202221290.000.00

Policy-level claims

Every claim on this policy is attributed to a named person.

Claims are attributed to a person from the patient loop of the 837P — name, date of birth and relationship within the policy — because the transaction carries no patient identifier. A claim that matches nobody, or more than one person, stays with the policy and is shown there rather than being assigned to a guess.