DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000849›NADIA NGUYEN

NADIA NGUYEN

Subscriber on policy B06M000849

Claims
1
Attributed to this person
Charged
95.00
Total submitted
Denied
95.00
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 โ€” 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
NameNADIA NGUYEN
Role on the policySubscriber
PolicyB06M000849
Date of birth8 Jun 1952
PlanPLATINUM PPO
Covered from18 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000371230 May 202595.00MERIDIAN HEALTH PLANCARC 27 ยท ELIGIBILITY95.00