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 B10M000277›BRIAN QUINN

BRIAN QUINN

Subscriber on policy B10M000277

Claims
2
Attributed to this person
Charged
1,643.00
Total submitted
Denied
769.00
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
NameBRIAN QUINN
Role on the policySubscriber
PolicyB10M000277
Date of birth20 Jan 1995
PlanPLATINUM PPO
Covered from24 Mar 2024
Covered to24 Dec 2024

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000116823 Jan 2025769.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY769.00
CLM000116729 Sep 2024874.00MERIDIAN HEALTH PLANNot denied—