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 B04M000334›DAVID TANAKA

DAVID TANAKA

Subscriber on policy B04M000334

Claims
1
Attributed to this person
Charged
466.00
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
NameDAVID TANAKA
Role on the policySubscriber
PolicyB04M000334
Date of birth14 Jun 1962
PlanGOLD PPO
Covered from7 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00014556 Mar 2026466.00MERIDIAN HEALTH PLANNot denied—