X12 Ingest & Denial Analytics

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Denials›TIMELY_FILING›claim B02M000549

Denial · CARC 29

TIMELY_FILING · MERIDIAN HEALTH PLAN

Denied
277.00
Withheld
Recoverable
0.00
Realistically collectable
Net of rework
0.00
less 31.00
Appeal window
closed 66d ago
Closed

Classification

FieldValue
Primary CARC29
All CARCs29
Root causeTIMELY_FILING
Owns the fixBilling Related
Appealableyes
Recoverableno
Recommended actionFiling limit expired. Rarely recoverable; fix the charge lag upstream.
PayerMERIDIAN HEALTH PLAN
Denial date19 Apr 2026
Appeal deadline18 Jul 2026

Denial workflow

FieldValue
Current statusnew
Appeal outcomenot recorded
Closure reasonnot applicable

What this denial means, and to whom

Does this mean I owe money?

The care was for KEVIN LOPEZ, a dependent on this policy

The payer withheld $277.00 from the provider for this service. The 835 did not assign any of this adjustment to the patient, so nothing here was reported as the member's responsibility. Do not treat the denied amount as a patient bill on the strength of this remittance alone. If a bill arrives for it, ask the provider what correction or appeal is under way, and question any balance the remittance does not support.

From: 835 CAS adjustment group codes on this remittance; the 837P patient loop that identifies who was treated.

Limits: This says what the 835 reported, not what was billed. A later remittance, a secondary payer or a correction can each change what the member is asked to pay, and none of that is visible here.

Adjustments

LevelCodeAmountCounts as
linePI/29277.00withheld