DenialIntel

Demo Environment — Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000629›FIONA NGUYEN

FIONA NGUYEN

Dependent on policy B06M000629

Claims
3
Attributed to this person
Charged
2,072.00
Total submitted
Denied
292.48
1 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
NameFIONA NGUYEN
Role on the policyDependent · relationship 19
PolicyB06M000629
Date of birth16 Dec 1993
PlanPLATINUM PPO
Covered from18 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000281118 Aug 2026600.00MERIDIAN HEALTH PLANNot denied—
CLM00028132 Nov 2025748.00MERIDIAN HEALTH PLANNot denied—
CLM00028129 Dec 2024724.00MERIDIAN HEALTH PLANCARC 96 · NON_COVERED292.48