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 B01M000792›SOFIA FOSTER

SOFIA FOSTER

Dependent on policy B01M000792

Claims
1
Attributed to this person
Charged
817.00
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
NameSOFIA FOSTER
Role on the policyDependent · relationship 19
PolicyB01M000792
Date of birth12 Jan 2018
PlanPLATINUM PPO
Covered from9 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000351822 Oct 2025817.00MERIDIAN HEALTH PLANNot denied—