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 B10M000511›PRIYA GARCIA

PRIYA GARCIA

Subscriber on policy B10M000511

Claims
3
Attributed to this person
Charged
1,149.00
Total submitted
Denied
612.00
2 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 GARCIA
Role on the policySubscriber
PolicyB10M000511
Date of birth29 Mar 1980
PlanSILVER HMO
Covered from23 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00021056 Jul 2026537.00MERIDIAN HEALTH PLANNot denied—
CLM000210611 May 2026279.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE279.00
CLM000210426 Nov 2024333.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION333.00