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 B07M000266›JULIA VARGAS

JULIA VARGAS

Dependent on policy B07M000266

Claims
3
Attributed to this person
Charged
940.00
Total submitted
Denied
161.00
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
NameJULIA VARGAS
Role on the policyDependent · relationship 01
PolicyB07M000266
Date of birth12 Nov 1982
PlanGOLD PPO
Covered from18 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000114712 Jan 2026172.00MERIDIAN HEALTH PLANNot denied—
CLM000114926 Jul 2025607.00MERIDIAN HEALTH PLANNot denied—
CLM00011484 Jan 2025161.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY161.00