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 B01M000171›KEVIN PATEL

KEVIN PATEL

Dependent on policy B01M000171

Claims
3
Attributed to this person
Charged
1,175.00
Total submitted
Denied
57.20
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
NameKEVIN PATEL
Role on the policyDependent · relationship 01
PolicyB01M000171
Date of birth3 Mar 1985
PlanGOLD PPO
Covered from22 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000072924 Aug 2025197.00MERIDIAN HEALTH PLANNot denied—
CLM000073027 Apr 2025861.00MERIDIAN HEALTH PLANNot denied—
CLM000072826 Jul 2024117.00MERIDIAN HEALTH PLANCARC 50 · MEDICAL_NECESSITY57.20