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 B03M000033›ZARA USMAN

ZARA USMAN

Subscriber on policy B03M000033

Claims
2
Attributed to this person
Charged
667.00
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
NameZARA USMAN
Role on the policySubscriber
PolicyB03M000033
Date of birth8 Aug 1986
PlanBRONZE EPO
Covered from23 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00001467 Mar 2026470.00MERIDIAN HEALTH PLANNot denied—
CLM000014713 Jul 2025197.00MERIDIAN HEALTH PLANNot denied—