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 B10M000419›PRIYA HUGHES

PRIYA HUGHES

Subscriber on policy B10M000419

Claims
3
Attributed to this person
Charged
1,090.00
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
NamePRIYA HUGHES
Role on the policySubscriber
PolicyB10M000419
Date of birth3 Sep 2004
PlanGOLD PPO
Covered from18 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000174111 Feb 2026466.00MERIDIAN HEALTH PLANNot denied—
CLM000173924 Jan 2025199.00MERIDIAN HEALTH PLANNot denied—
CLM00017406 Nov 2024425.00MERIDIAN HEALTH PLANNot denied—