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 B10M000593›BRIAN DIAZ

BRIAN DIAZ

Subscriber on policy B10M000593

Claims
3
Attributed to this person
Charged
2,153.00
Total submitted
Denied
202.83
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 DIAZ
Role on the policySubscriber
PolicyB10M000593
Date of birth30 Aug 1991
PlanPLATINUM PPO
Covered from26 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000245422 Feb 2026651.00MERIDIAN HEALTH PLANNot denied—
CLM000245225 Dec 2025803.00MERIDIAN HEALTH PLANNot denied—
CLM000245327 May 2025699.00MERIDIAN HEALTH PLANCARC 16 · BILLING_ERROR202.83