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 B07M000233›WENDY QUINN

WENDY QUINN

Subscriber on policy B07M000233

Claims
2
Attributed to this person
Charged
849.00
Total submitted
Denied
849.00
2 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
NameWENDY QUINN
Role on the policySubscriber
PolicyB07M000233
Date of birth5 Mar 1950
PlanBRONZE EPO
Covered from15 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00009868 Dec 2025413.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING413.00
CLM00009852 Sep 2025436.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE436.00