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.
Members›policy B07M000565›NADIA ANDERSON

NADIA ANDERSON

Dependent on policy B07M000565

Claims
2
Attributed to this person
Charged
549.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
63.75
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 ANDERSON
Role on the policyDependent · relationship 19
PolicyB07M000565
Date of birth17 May 2017
PlanGOLD PPO
Covered from13 May 2025
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible163.75
Total63.75

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000240122 Apr 2026124.00MERIDIAN HEALTH PLANNot denied—
CLM000240216 Jan 2026425.00MERIDIAN HEALTH PLANNot denied—