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 B09M000641›JULIA VARGAS

JULIA VARGAS

Dependent on policy B09M000641

Claims
2
Attributed to this person
Charged
195.00
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
NameJULIA VARGAS
Role on the policyDependent · relationship 01
PolicyB09M000641
Date of birth17 Mar 1998
PlanPLATINUM PPO
Covered from27 Feb 2025
Covered to26 Jul 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000272515 Jul 2025122.00MERIDIAN HEALTH PLANNot denied—
CLM000272613 May 202573.00MERIDIAN HEALTH PLANNot denied—