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 B10M000801›UMA TANAKA

UMA TANAKA

Subscriber on policy B10M000801

Claims
2
Attributed to this person
Charged
1,085.00
Total submitted
Denied
189.93
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
NameUMA TANAKA
Role on the policySubscriber
PolicyB10M000801
Date of birth9 Mar 1972
PlanPLATINUM PPO
Covered from15 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000337619 Jan 2026671.00MERIDIAN HEALTH PLANNot denied—
CLM000337512 Sep 2025414.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY189.93