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 B02M000680›ZARA GARCIA

ZARA GARCIA

Subscriber on policy B02M000680

Claims
2
Attributed to this person
Charged
489.00
Total submitted
Denied
350.00
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 GARCIA
Role on the policySubscriber
PolicyB02M000680
Date of birth10 Mar 2002
PlanSILVER HMO
Covered from20 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000287313 Jul 2026350.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY350.00
CLM000287430 May 2026139.00MERIDIAN HEALTH PLANNot denied—