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 B07M000117›PRIYA ANDERSON

PRIYA ANDERSON

Dependent on policy B07M000117

Claims
3
Attributed to this person
Charged
1,117.00
Total submitted
Denied
371.00
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
NamePRIYA ANDERSON
Role on the policyDependent · relationship 19
PolicyB07M000117
Date of birth13 Jan 2009
PlanSILVER HMO
Covered from8 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000048827 Jul 2025537.00MERIDIAN HEALTH PLANNot denied—
CLM000048712 May 2025209.00MERIDIAN HEALTH PLANNot denied—
CLM00004866 Jan 2025371.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION371.00