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 B10M000822›RAVI PATEL

RAVI PATEL

Dependent on policy B10M000822

Claims
2
Attributed to this person
Charged
1,000.00
Total submitted
Denied
1,000.00
2 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
NameRAVI PATEL
Role on the policyDependent · relationship 19
PolicyB10M000822
Date of birth8 Sep 1993
PlanPLATINUM PPO
Covered from28 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00034748 Apr 2026729.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY729.00
CLM000347510 Oct 2025271.00MERIDIAN HEALTH PLANCARC 16 · BILLING_ERROR271.00