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 B05M000289›JULIA QUINN

JULIA QUINN

Subscriber on policy B05M000289

Claims
2
Attributed to this person
Charged
665.00
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
NameJULIA QUINN
Role on the policySubscriber
PolicyB05M000289
Date of birth19 Jun 1969
PlanBRONZE EPO
Covered from10 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000119529 Jul 2025331.00MERIDIAN HEALTH PLANNot denied—
CLM000119431 Mar 2024334.00MERIDIAN HEALTH PLANNot denied—