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 B09M000280›AMARA YAMADA

AMARA YAMADA

Subscriber on policy B09M000280

Claims
1
Attributed to this person
Charged
621.00
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
NameAMARA YAMADA
Role on the policySubscriber
PolicyB09M000280
Date of birth10 Nov 1958
PlanPLATINUM PPO
Covered from25 Mar 2025
Covered to2 Nov 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000114812 Jul 2025621.00MERIDIAN HEALTH PLANNot denied—