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 B02M000371›ZARA HUGHES

ZARA HUGHES

Subscriber on policy B02M000371

Claims
2
Attributed to this person
Charged
1,126.00
Total submitted
Denied
480.00
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
NameZARA HUGHES
Role on the policySubscriber
PolicyB02M000371
Date of birth8 Apr 1967
PlanPLATINUM PPO
Covered from16 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000157622 Mar 2026480.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY480.00
CLM000157717 Sep 2025646.00MERIDIAN HEALTH PLANNot denied—