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 B01M000550›NADIA DIAZ

NADIA DIAZ

Subscriber on policy B01M000550

Claims
1
Attributed to this person
Charged
797.00
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
NameNADIA DIAZ
Role on the policySubscriber
PolicyB01M000550
Date of birth26 Apr 1988
PlanBRONZE EPO
Covered from7 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000246713 Nov 2025797.00MERIDIAN HEALTH PLANNot denied—