DenialIntel

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 B02M000492›BRIAN HUGHES

BRIAN HUGHES

Dependent on policy B02M000492

Claims
3
Attributed to this person
Charged
1,446.00
Total submitted
Denied
837.00
2 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
NameBRIAN HUGHES
Role on the policyDependent · relationship 19
PolicyB02M000492
Date of birth6 Jul 2020
PlanSILVER HMO
Covered from6 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00021026 Jul 2026504.00MERIDIAN HEALTH PLANCARC 18 · DUPLICATE504.00
CLM000210029 Sep 2025814.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY333.00
CLM000210117 Mar 2025128.00MERIDIAN HEALTH PLANNot denied—