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 B02M000195›NADIA JOHNSON

NADIA JOHNSON

Subscriber on policy B02M000195

Claims
3
Attributed to this person
Charged
1,856.00
Total submitted
Denied
861.00
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
NameNADIA JOHNSON
Role on the policySubscriber
PolicyB02M000195
Date of birth13 Jul 1955
PlanSILVER HMO
Covered from11 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00008509 Jul 2026356.00MERIDIAN HEALTH PLANNot denied—
CLM000084927 May 2026639.00MERIDIAN HEALTH PLANNot denied—
CLM00008484 Mar 2026861.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING861.00