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 B07M000382›NADIA CHEN

NADIA CHEN

Dependent on policy B07M000382

Claims
3
Attributed to this person
Charged
1,037.00
Total submitted
Denied
618.29
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
NameNADIA CHEN
Role on the policyDependent · relationship 19
PolicyB07M000382
Date of birth14 Nov 2022
PlanSILVER HMO
Covered from5 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000162525 Jan 2026333.00MERIDIAN HEALTH PLANNot denied—
CLM00016264 Oct 2025576.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY576.00
CLM000162424 Jul 2025128.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION42.29