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 B08M000188›JULIA TANAKA

JULIA TANAKA

Dependent on policy B08M000188

Claims
3
Attributed to this person
Charged
1,429.00
Total submitted
Denied
1,018.00
2 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
NameJULIA TANAKA
Role on the policyDependent · relationship 01
PolicyB08M000188
Date of birth18 Sep 1990
PlanPLATINUM PPO
Covered from6 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00008398 May 2026411.00MERIDIAN HEALTH PLANNot denied—
CLM000083821 Apr 2026666.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING666.00
CLM000084011 Oct 2025352.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE352.00