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 B10M000616›VICTOR CHEN

VICTOR CHEN

Subscriber on policy B10M000616

Claims
3
Attributed to this person
Charged
1,730.00
Total submitted
Denied
243.70
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
NameVICTOR CHEN
Role on the policySubscriber
PolicyB10M000616
Date of birth16 May 2000
PlanSILVER HMO
Covered from3 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00025684 Jun 2026581.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY243.70
CLM000256913 Mar 2025558.00MERIDIAN HEALTH PLANNot denied—
CLM000256719 Dec 2024591.00MERIDIAN HEALTH PLANNot denied—