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 B03M000570›ZARA QUINN

ZARA QUINN

Dependent on policy B03M000570

Claims
2
Attributed to this person
Charged
1,120.00
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
NameZARA QUINN
Role on the policyDependent · relationship 01
PolicyB03M000570
Date of birth16 Jun 1954
PlanSILVER HMO
Covered from7 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00023345 Jun 2025601.00MERIDIAN HEALTH PLANNot denied—
CLM000233320 Feb 2025519.00MERIDIAN HEALTH PLANNot denied—