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 B09M000884›PRIYA KUMAR

PRIYA KUMAR

Subscriber on policy B09M000884

Claims
2
Attributed to this person
Charged
1,009.00
Total submitted
Denied
363.56
2 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
NamePRIYA KUMAR
Role on the policySubscriber
PolicyB09M000884
Date of birth10 Jun 1970
PlanSILVER HMO
Covered from14 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00037552 Jul 2025818.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY172.56
CLM000375428 Apr 2025191.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY191.00