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 B08M000211›YUSUF SMITH

YUSUF SMITH

Subscriber on policy B08M000211

Claims
2
Attributed to this person
Charged
479.00
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
NameYUSUF SMITH
Role on the policySubscriber
PolicyB08M000211
Date of birth8 Mar 1967
PlanPLATINUM PPO
Covered from28 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000094622 May 202698.00MERIDIAN HEALTH PLANNot denied—
CLM000094527 Sep 2025381.00MERIDIAN HEALTH PLANNot denied—