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 B09M000200›HENRY VARGAS

HENRY VARGAS

Dependent on policy B09M000200

Claims
3
Attributed to this person
Charged
1,343.00
Total submitted
Denied
24.24
1 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
NameHENRY VARGAS
Role on the policyDependent · relationship 19
PolicyB09M000200
Date of birth3 Aug 2008
PlanGOLD PPO
Covered from23 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000083829 Jul 2026210.00MERIDIAN HEALTH PLANNot denied—
CLM000083911 Mar 2025414.00MERIDIAN HEALTH PLANNot denied—
CLM000083716 Feb 2025719.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY24.24