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 B01M000711›CARLA FOSTER

CARLA FOSTER

Dependent on policy B01M000711

Claims
1
Attributed to this person
Charged
407.00
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
NameCARLA FOSTER
Role on the policyDependent · relationship 01
PolicyB01M000711
Date of birth21 Oct 1975
PlanSILVER HMO
Covered from28 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000317526 Nov 2025407.00MERIDIAN HEALTH PLANNot denied—