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 B03M000172›MARCUS ANDERSON

MARCUS ANDERSON

Subscriber on policy B03M000172

Claims
2
Attributed to this person
Charged
808.00
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
NameMARCUS ANDERSON
Role on the policySubscriber
PolicyB03M000172
Date of birth14 Aug 1996
PlanBRONZE EPO
Covered from20 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000069923 Apr 2026453.00MERIDIAN HEALTH PLANNot denied—
CLM000069822 Jul 2024355.00MERIDIAN HEALTH PLANNot denied—