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 B03M000723›NADIA SMITH

NADIA SMITH

Dependent on policy B03M000723

Claims
1
Attributed to this person
Charged
535.00
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 SMITH
Role on the policyDependent · relationship 19
PolicyB03M000723
Date of birth13 Jul 2012
PlanGOLD PPO
Covered from4 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000302827 Feb 2026535.00MERIDIAN HEALTH PLANNot denied—