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 B06M000639›JULIA REYES

JULIA REYES

Subscriber on policy B06M000639

Claims
2
Attributed to this person
Charged
547.00
Total submitted
Denied
246.00
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
NameJULIA REYES
Role on the policySubscriber
PolicyB06M000639
Date of birth12 Dec 1957
PlanPLATINUM PPO
Covered from21 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000284828 Jul 2026246.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY246.00
CLM000284729 Jul 2025301.00MERIDIAN HEALTH PLANNot denied—