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 B08M000766›LEILA NGUYEN

LEILA NGUYEN

Subscriber on policy B08M000766

Claims
2
Attributed to this person
Charged
608.00
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
NameLEILA NGUYEN
Role on the policySubscriber
PolicyB08M000766
Date of birth27 Nov 1962
PlanBRONZE EPO
Covered from30 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000342920 Dec 2025321.00MERIDIAN HEALTH PLANNot denied—
CLM000342816 Oct 2025287.00MERIDIAN HEALTH PLANNot denied—