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 B10M000003›RAVI HUGHES

RAVI HUGHES

Subscriber on policy B10M000003

Claims
1
Attributed to this person
Charged
167.00
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
NameRAVI HUGHES
Role on the policySubscriber
PolicyB10M000003
Date of birth13 May 1971
PlanBRONZE EPO
Covered from21 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000001822 Oct 2025167.00MERIDIAN HEALTH PLANNot denied—