X12 Ingest & Denial Analytics

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 B01M000331›YUSUF USMAN

YUSUF USMAN

Dependent on policy B01M000331

Claims
1
Attributed to this person
Charged
286.00
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
NameYUSUF USMAN
Role on the policyDependent · relationship 19
PolicyB01M000331
Date of birth16 Feb 1991
PlanPLATINUM PPO
Covered from3 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000147516 Jun 2024286.00MERIDIAN HEALTH PLANNot denied—