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 B08M000838›ZARA GARCIA

ZARA GARCIA

Subscriber on policy B08M000838

Claims
2
Attributed to this person
Charged
418.00
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
NameZARA GARCIA
Role on the policySubscriber
PolicyB08M000838
Date of birth22 Jun 1963
PlanGOLD PPO
Covered from23 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00037431 Mar 2026136.00MERIDIAN HEALTH PLANNot denied—
CLM000374425 Apr 2025282.00MERIDIAN HEALTH PLANNot denied—