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›UMA NGUYEN

UMA NGUYEN

Dependent on policy B08M000766

Claims
1
Attributed to this person
Charged
426.00
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
NameUMA NGUYEN
Role on the policyDependent · relationship 19
PolicyB08M000766
Date of birth14 Mar 1986
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
CLM000343531 Oct 2024426.00MERIDIAN HEALTH PLANNot denied—