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 B02M000773›SOFIA BAKER

SOFIA BAKER

Subscriber on policy B02M000773

Claims
1
Attributed to this person
Charged
560.00
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
NameSOFIA BAKER
Role on the policySubscriber
PolicyB02M000773
Date of birth15 Feb 1968
PlanPLATINUM PPO
Covered from7 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000322825 Dec 2025560.00MERIDIAN HEALTH PLANNot denied—