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.
Members›policy B07M000012›AMARA KUMAR

AMARA KUMAR

Dependent on policy B07M000012

Claims
1
Attributed to this person
Charged
270.00
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
NameAMARA KUMAR
Role on the policyDependent · relationship 19
PolicyB07M000012
Date of birth27 Jan 2012
PlanBRONZE EPO
Covered from5 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00000694 Aug 2025270.00MERIDIAN HEALTH PLANNot denied—