DenialIntel

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Members›policy B09M000194

Policy B09M000194

3 people enrolled on this policy.

People
3
On this policy
Claims attributed
4
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)
FIONA HUGHESSubscriber29 Jul 2004100.00110.60
JULIA HUGHESDependent · 0116 Feb 201011164.220.00
ELENA HUGHESDependent · 1917 Dec 2020200.0015.00

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.