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 B10M000690›KEVIN WILSON

KEVIN WILSON

Dependent on policy B10M000690

Claims
3
Attributed to this person
Charged
1,522.00
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
NameKEVIN WILSON
Role on the policyDependent · relationship 19
PolicyB10M000690
Date of birth18 Mar 2018
PlanSILVER HMO
Covered from26 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000288418 Aug 2026679.00MERIDIAN HEALTH PLANNot denied—
CLM000288310 Jun 2026555.00MERIDIAN HEALTH PLANNot denied—
CLM000288218 Aug 2025288.00MERIDIAN HEALTH PLANNot denied—