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 B06M000790›OMAR PATEL

OMAR PATEL

Subscriber on policy B06M000790

Claims
2
Attributed to this person
Charged
704.00
Total submitted
Denied
0.00
0 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
NameOMAR PATEL
Role on the policySubscriber
PolicyB06M000790
Date of birth21 May 2001
PlanGOLD PPO
Covered from17 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000347819 Jun 2026184.00MERIDIAN HEALTH PLANNot denied—
CLM000347722 Jan 2024520.00MERIDIAN HEALTH PLANNot denied—