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 B02M000500›BRIAN ANDERSON

BRIAN ANDERSON

Dependent on policy B02M000500

Claims
2
Attributed to this person
Charged
840.00
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
NameBRIAN ANDERSON
Role on the policyDependent · relationship 01
PolicyB02M000500
Date of birth15 Mar 1972
PlanBRONZE EPO
Covered from5 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000213129 Jul 2025750.00MERIDIAN HEALTH PLANNot denied—
CLM000213210 Jan 202590.00MERIDIAN HEALTH PLANNot denied—