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 B10M000566›NADIA PATEL

NADIA PATEL

Dependent on policy B10M000566

Claims
1
Attributed to this person
Charged
201.00
Total submitted
Denied
201.00
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
NameNADIA PATEL
Role on the policyDependent · relationship 19
PolicyB10M000566
Date of birth8 Apr 2021
PlanSILVER HMO
Covered from8 Dec 2024
Covered to17 May 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000234610 Jun 2025201.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY201.00