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 B09M000257›WENDY CHEN

WENDY CHEN

Subscriber on policy B09M000257

Claims
3
Attributed to this person
Charged
1,170.00
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
NameWENDY CHEN
Role on the policySubscriber
PolicyB09M000257
Date of birth18 Jun 2001
PlanGOLD PPO
Covered from3 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000104719 Feb 2026453.00MERIDIAN HEALTH PLANNot denied—
CLM000104614 Jan 2026204.00MERIDIAN HEALTH PLANNot denied—
CLM000104526 Oct 2025513.00MERIDIAN HEALTH PLANNot denied—