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 B08M000358›RAVI JOHNSON

RAVI JOHNSON

Subscriber on policy B08M000358

Claims
3
Attributed to this person
Charged
937.00
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
NameRAVI JOHNSON
Role on the policySubscriber
PolicyB08M000358
Date of birth5 Feb 1997
PlanPLATINUM PPO
Covered from3 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000163823 Apr 2026229.00MERIDIAN HEALTH PLANNot denied—
CLM00016406 Aug 202588.00MERIDIAN HEALTH PLANNot denied—
CLM000163927 Jul 2025620.00MERIDIAN HEALTH PLANNot denied—