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 B02M000437›VICTOR BAKER

VICTOR BAKER

Subscriber on policy B02M000437

Claims
3
Attributed to this person
Charged
1,309.00
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
NameVICTOR BAKER
Role on the policySubscriber
PolicyB02M000437
Date of birth9 Aug 1961
PlanSILVER HMO
Covered from11 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00018689 Jul 2026549.00MERIDIAN HEALTH PLANNot denied—
CLM000186614 May 2026419.00MERIDIAN HEALTH PLANNot denied—
CLM000186724 Oct 2025341.00MERIDIAN HEALTH PLANNot denied—