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 B02M000186›WENDY QUINN

WENDY QUINN

Subscriber on policy B02M000186

Claims
1
Attributed to this person
Charged
437.00
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
NameWENDY QUINN
Role on the policySubscriber
PolicyB02M000186
Date of birth15 Nov 1986
PlanBRONZE EPO
Covered from28 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00008223 Aug 2026437.00MERIDIAN HEALTH PLANNot denied—