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 B10M000253›MARCUS FOSTER

MARCUS FOSTER

Subscriber on policy B10M000253

Claims
2
Attributed to this person
Charged
1,333.00
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
NameMARCUS FOSTER
Role on the policySubscriber
PolicyB10M000253
Date of birth1 Jul 1977
PlanPLATINUM PPO
Covered from20 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00010357 Aug 2026610.00MERIDIAN HEALTH PLANNot denied—
CLM00010369 Sep 2025723.00MERIDIAN HEALTH PLANNot denied—