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.

UMA QUINN

Dependent on policy B07M000468

Claims
2
Attributed to this person
Charged
721.00
Total submitted
Denied
33.00
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
NameUMA QUINN
Role on the policyDependent · relationship 01
PolicyB07M000468
Date of birth2 Oct 1972
PlanPLATINUM PPO
Covered from16 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000198730 Oct 2025562.00MERIDIAN HEALTH PLANNot denied—
CLM00019862 Apr 2025159.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION33.00