X12 Ingest & Denial Analytics

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 B02M000018›JULIA WILSON

JULIA WILSON

Dependent on policy B02M000018

Claims
1
Attributed to this person
Charged
846.00
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
NameJULIA WILSON
Role on the policyDependent · relationship 19
PolicyB02M000018
Date of birth10 Nov 2000
PlanBRONZE EPO
Covered from19 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000010722 Aug 2025846.00MERIDIAN HEALTH PLANNot denied—