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 B01M000270›AMARA ANDERSON

AMARA ANDERSON

Dependent on policy B01M000270

Claims
2
Attributed to this person
Charged
670.00
Total submitted
Denied
102.28
1 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
NameAMARA ANDERSON
Role on the policyDependent · relationship 01
PolicyB01M000270
Date of birth9 Nov 1952
PlanGOLD PPO
Covered from6 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000115514 Oct 2025249.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY102.28
CLM000115621 Jul 2025421.00MERIDIAN HEALTH PLANNot denied—