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 B08M000257›BRIAN QUINN

BRIAN QUINN

Dependent on policy B08M000257

Claims
2
Attributed to this person
Charged
899.00
Total submitted
Denied
269.00
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
NameBRIAN QUINN
Role on the policyDependent · relationship 01
PolicyB08M000257
Date of birth26 Aug 2000
PlanBRONZE EPO
Covered from22 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000116011 Apr 2026630.00MERIDIAN HEALTH PLANNot denied—
CLM000115927 Oct 2024269.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY269.00