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 B09M000885›SOFIA WILSON

SOFIA WILSON

Subscriber on policy B09M000885

Claims
2
Attributed to this person
Charged
837.00
Total submitted
Denied
581.00
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
NameSOFIA WILSON
Role on the policySubscriber
PolicyB09M000885
Date of birth23 May 1966
PlanBRONZE EPO
Covered from19 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000376420 Feb 2026581.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY581.00
CLM00037636 Sep 2025256.00MERIDIAN HEALTH PLANNot denied—