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 B03M000364›JULIA ANDERSON

JULIA ANDERSON

Dependent on policy B03M000364

Claims
2
Attributed to this person
Charged
975.00
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
NameJULIA ANDERSON
Role on the policyDependent · relationship 19
PolicyB03M000364
Date of birth9 Nov 1985
PlanPLATINUM PPO
Covered from14 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00014838 May 2026131.00MERIDIAN HEALTH PLANNot denied—
CLM000148429 Nov 2024844.00MERIDIAN HEALTH PLANNot denied—