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 B07M000479›ELENA IQBAL

ELENA IQBAL

Subscriber on policy B07M000479

Claims
2
Attributed to this person
Charged
945.00
Total submitted
Denied
269.00
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
NameELENA IQBAL
Role on the policySubscriber
PolicyB07M000479
Date of birth12 Jun 1958
PlanPLATINUM PPO
Covered from30 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000204221 Jul 2026269.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING269.00
CLM00020419 Oct 2025676.00MERIDIAN HEALTH PLANNot denied—