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 B03M000169›WENDY NGUYEN

WENDY NGUYEN

Subscriber on policy B03M000169

Claims
1
Attributed to this person
Charged
561.00
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
NameWENDY NGUYEN
Role on the policySubscriber
PolicyB03M000169
Date of birth17 Nov 1988
PlanSILVER HMO
Covered from21 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000069314 Aug 2026561.00MERIDIAN HEALTH PLANNot denied—