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 B07M000602›PRIYA USMAN

PRIYA USMAN

Dependent on policy B07M000602

Claims
3
Attributed to this person
Charged
1,732.00
Total submitted
Denied
889.00
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
NamePRIYA USMAN
Role on the policyDependent · relationship 19
PolicyB07M000602
Date of birth17 Jun 1984
PlanBRONZE EPO
Covered from20 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000254221 May 2026403.00MERIDIAN HEALTH PLANNot denied—
CLM000254116 Dec 2025889.00MERIDIAN HEALTH PLANCARC 109 · COB889.00
CLM000254331 Oct 2025440.00MERIDIAN HEALTH PLANNot denied—