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 B08M000153›CARLA TANAKA

CARLA TANAKA

Subscriber on policy B08M000153

Claims
1
Attributed to this person
Charged
534.00
Total submitted
Denied
0.00
0 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
NameCARLA TANAKA
Role on the policySubscriber
PolicyB08M000153
Date of birth18 Oct 1975
PlanGOLD PPO
Covered from15 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00007091 Nov 2025534.00MERIDIAN HEALTH PLANNot denied—