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 B09M000088›AMARA ANDERSON

AMARA ANDERSON

Subscriber on policy B09M000088

Claims
3
Attributed to this person
Charged
2,131.00
Total submitted
Denied
1,453.00
2 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
NameAMARA ANDERSON
Role on the policySubscriber
PolicyB09M000088
Date of birth16 Sep 1965
PlanPLATINUM PPO
Covered from18 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000036913 Mar 2026678.00MERIDIAN HEALTH PLANNot denied—
CLM000037116 Apr 2025838.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING838.00
CLM00003709 Mar 2025615.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY615.00