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 B03M000208›NADIA PATEL

NADIA PATEL

Dependent on policy B03M000208

Claims
2
Attributed to this person
Charged
1,693.00
Total submitted
Denied
1,693.00
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
NameNADIA PATEL
Role on the policyDependent · relationship 19
PolicyB03M000208
Date of birth9 Apr 2016
PlanPLATINUM PPO
Covered from10 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00008571 Jun 2026834.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING834.00
CLM000085613 Nov 2024859.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY859.00