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 B02M000559›JULIA JOHNSON

JULIA JOHNSON

Subscriber on policy B02M000559

Claims
3
Attributed to this person
Charged
418.00
Total submitted
Denied
418.00
3 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
NameJULIA JOHNSON
Role on the policySubscriber
PolicyB02M000559
Date of birth5 Aug 1969
PlanBRONZE EPO
Covered from12 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000235625 Feb 202675.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY75.00
CLM00023572 Jan 2025237.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY237.00
CLM00023559 Aug 2024106.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION106.00