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 B01M000879›WENDY VARGAS

WENDY VARGAS

Dependent on policy B01M000879

Claims
1
Attributed to this person
Charged
591.00
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
NameWENDY VARGAS
Role on the policyDependent · relationship 01
PolicyB01M000879
Date of birth4 Oct 1949
PlanPLATINUM PPO
Covered from26 Apr 2025
Covered to15 Sep 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000389125 Jul 2025591.00MERIDIAN HEALTH PLANNot denied—