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 B02M000037›JULIA QUINN

JULIA QUINN

Dependent on policy B02M000037

Claims
3
Attributed to this person
Charged
1,099.00
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 QUINN
Role on the policyDependent · relationship 19
PolicyB02M000037
Date of birth6 May 2006
PlanGOLD PPO
Covered from6 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000018116 Aug 2026268.00MERIDIAN HEALTH PLANNot denied—
CLM000018320 Oct 2025179.00MERIDIAN HEALTH PLANNot denied—
CLM000018215 May 2025652.00MERIDIAN HEALTH PLANNot denied—