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 B07M000376›BRIAN USMAN

BRIAN USMAN

Subscriber on policy B07M000376

Claims
2
Attributed to this person
Charged
794.00
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
NameBRIAN USMAN
Role on the policySubscriber
PolicyB07M000376
Date of birth14 Feb 1969
PlanBRONZE EPO
Covered from6 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000160119 Aug 2026589.00MERIDIAN HEALTH PLANNot denied—
CLM00016002 Mar 2026205.00MERIDIAN HEALTH PLANNot denied—