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 B07M000366›ZARA HUGHES

ZARA HUGHES

Subscriber on policy B07M000366

Claims
3
Attributed to this person
Charged
1,774.00
Total submitted
Denied
13.99
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
NameZARA HUGHES
Role on the policySubscriber
PolicyB07M000366
Date of birth13 Jan 1955
PlanGOLD PPO
Covered from3 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000156227 Apr 2026649.00MERIDIAN HEALTH PLANNot denied—
CLM000156127 Mar 2026334.00MERIDIAN HEALTH PLANNot denied—
CLM000156313 Feb 2026791.00MERIDIAN HEALTH PLANCARC 11 · CODING13.99