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 B02M000074›SOFIA KUMAR

SOFIA KUMAR

Subscriber on policy B02M000074

Claims
2
Attributed to this person
Charged
1,068.00
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
NameSOFIA KUMAR
Role on the policySubscriber
PolicyB02M000074
Date of birth18 Nov 1995
PlanPLATINUM PPO
Covered from31 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000034531 Jul 2026683.00MERIDIAN HEALTH PLANNot denied—
CLM000034417 Oct 2024385.00MERIDIAN HEALTH PLANNot denied—