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 B09M000778›RAVI QUINN

RAVI QUINN

Dependent on policy B09M000778

Claims
3
Attributed to this person
Charged
864.00
Total submitted
Denied
103.63
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
NameRAVI QUINN
Role on the policyDependent · relationship 01
PolicyB09M000778
Date of birth9 Dec 1956
PlanBRONZE EPO
Covered from22 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000329118 Oct 2025483.00MERIDIAN HEALTH PLANNot denied—
CLM000329014 Sep 2025114.00MERIDIAN HEALTH PLANNot denied—
CLM000329228 Feb 2025267.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY103.63