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›MARCUS CHEN

MARCUS CHEN

Dependent on policy B01M000037

Claims
2
Attributed to this person
Charged
610.00
Total submitted
Denied
528.07
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
NameMARCUS CHEN
Role on the policyDependent · relationship 19
PolicyB01M000037
Date of birth20 Feb 1994
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
CLM000015229 Sep 2025104.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY22.07
CLM00001512 Jun 2025506.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY506.00