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 B01M000037›PRIYA CHEN

PRIYA CHEN

Dependent on policy B01M000037

Claims
2
Attributed to this person
Charged
229.00
Total submitted
Denied
229.00
2 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
NamePRIYA CHEN
Role on the policyDependent · relationship 01
PolicyB01M000037
Date of birth1 May 1955
PlanBRONZE EPO
Covered from19 Jun 2025
Covered to23 Jan 2026

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000015028 Jan 2026147.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY147.00
CLM000014927 Jul 202582.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING82.00