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 B01M000267›UMA NGUYEN

UMA NGUYEN

Subscriber on policy B01M000267

Claims
3
Attributed to this person
Charged
1,135.00
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
NameUMA NGUYEN
Role on the policySubscriber
PolicyB01M000267
Date of birth3 Jan 1956
PlanGOLD PPO
Covered from19 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000113813 Aug 2026307.00MERIDIAN HEALTH PLANNot denied—
CLM000113619 Jul 2026548.00MERIDIAN HEALTH PLANNot denied—
CLM000113710 Feb 2026280.00MERIDIAN HEALTH PLANNot denied—