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 B01M000176›NADIA TANAKA

NADIA TANAKA

Dependent on policy B01M000176

Claims
3
Attributed to this person
Charged
1,151.00
Total submitted
Denied
125.00
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
NameNADIA TANAKA
Role on the policyDependent · relationship 01
PolicyB01M000176
Date of birth10 Apr 1979
PlanPLATINUM PPO
Covered from31 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00007487 Apr 2026210.00MERIDIAN HEALTH PLANNot denied—
CLM000074916 Apr 2025816.00MERIDIAN HEALTH PLANNot denied—
CLM00007474 Oct 2024125.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY125.00