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 B08M000469›WENDY WILSON

WENDY WILSON

Subscriber on policy B08M000469

Claims
2
Attributed to this person
Charged
1,605.00
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
NameWENDY WILSON
Role on the policySubscriber
PolicyB08M000469
Date of birth18 Nov 1957
PlanSILVER HMO
Covered from12 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000217115 Mar 2026707.00MERIDIAN HEALTH PLANNot denied—
CLM000217224 Jul 2025898.00MERIDIAN HEALTH PLANNot denied—