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 B03M000730›PRIYA WILSON

PRIYA WILSON

Dependent on policy B03M000730

Claims
1
Attributed to this person
Charged
306.00
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 WILSON
Role on the policyDependent · relationship 01
PolicyB03M000730
Date of birth6 Nov 1987
PlanSILVER HMO
Covered from5 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000305817 Nov 2025306.00MERIDIAN HEALTH PLANNot denied—