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 B10M000867›YUSUF DIAZ

YUSUF DIAZ

Subscriber on policy B10M000867

Claims
2
Attributed to this person
Charged
847.00
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
NameYUSUF DIAZ
Role on the policySubscriber
PolicyB10M000867
Date of birth2 May 1967
PlanSILVER HMO
Covered from3 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00036743 Nov 2025184.00MERIDIAN HEALTH PLANNot denied—
CLM000367312 Aug 2025663.00MERIDIAN HEALTH PLANNot denied—