X12 Ingest & Denial Analytics

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 B05M000101›WENDY QUINN

WENDY QUINN

Subscriber on policy B05M000101

Claims
1
Attributed to this person
Charged
619.00
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 QUINN
Role on the policySubscriber
PolicyB05M000101
Date of birth12 Nov 1986
PlanSILVER HMO
Covered from20 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000043615 Aug 2026619.00MERIDIAN HEALTH PLANNot denied—