X12 Ingest & Denial Analytics

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 B08M000134›NADIA CHEN

NADIA CHEN

Subscriber on policy B08M000134

Claims
3
Attributed to this person
Charged
2,356.00
Total submitted
Denied
1,655.50
3 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 CHEN
Role on the policySubscriber
PolicyB08M000134
Date of birth23 Aug 1950
PlanPLATINUM PPO
Covered from11 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000060320 Aug 2026880.00MERIDIAN HEALTH PLANCARC 109 · COB179.50
CLM000060230 Apr 2025734.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY734.00
CLM000060120 Oct 2024742.00MERIDIAN HEALTH PLANCARC 16 · BILLING_ERROR742.00