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 B08M000391›JULIA REYES

JULIA REYES

Subscriber on policy B08M000391

Claims
2
Attributed to this person
Charged
823.00
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
NameJULIA REYES
Role on the policySubscriber
PolicyB08M000391
Date of birth6 Apr 1969
PlanBRONZE EPO
Covered from9 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000178324 Dec 2025133.00MERIDIAN HEALTH PLANNot denied—
CLM000178425 Aug 2025690.00MERIDIAN HEALTH PLANNot denied—