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 B02M000101›AMARA HUGHES

AMARA HUGHES

Dependent on policy B02M000101

Claims
1
Attributed to this person
Charged
356.00
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
NameAMARA HUGHES
Role on the policyDependent · relationship 01
PolicyB02M000101
Date of birth23 Mar 1975
PlanSILVER HMO
Covered from28 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00004545 Nov 2025356.00MERIDIAN HEALTH PLANNot denied—