DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B07M000565›NADIA ANDERSON

NADIA ANDERSON

Subscriber on policy B07M000565

Claims
1
Attributed to this person
Charged
317.00
Total submitted
Denied
317.00
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 โ€” 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 ANDERSON
Role on the policySubscriber
PolicyB07M000565
Date of birth4 Jun 1999
PlanGOLD PPO
Covered from13 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00023978 Jun 2025317.00MERIDIAN HEALTH PLANCARC 96 ยท NON_COVERED317.00