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 B07M000659›RAVI VARGAS

RAVI VARGAS

Subscriber on policy B07M000659

Claims
3
Attributed to this person
Charged
1,055.00
Total submitted
Denied
655.00
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
NameRAVI VARGAS
Role on the policySubscriber
PolicyB07M000659
Date of birth18 Oct 1951
PlanBRONZE EPO
Covered from20 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00027509 May 2026114.00MERIDIAN HEALTH PLANNot denied—
CLM000274828 Apr 2026286.00MERIDIAN HEALTH PLANNot denied—
CLM00027492 May 2025655.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY655.00