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 B03M000459›PRIYA NGUYEN

PRIYA NGUYEN

Subscriber on policy B03M000459

Claims
1
Attributed to this person
Charged
733.00
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
NamePRIYA NGUYEN
Role on the policySubscriber
PolicyB03M000459
Date of birth7 Dec 1997
PlanGOLD PPO
Covered from29 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000189716 Mar 2025733.00MERIDIAN HEALTH PLANNot denied—