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 B05M000372›NADIA BAKER

NADIA BAKER

Dependent on policy B05M000372

Claims
2
Attributed to this person
Charged
1,437.00
Total submitted
Denied
811.00
1 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
NameNADIA BAKER
Role on the policyDependent · relationship 19
PolicyB05M000372
Date of birth14 Aug 1991
PlanSILVER HMO
Covered from6 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000158619 Dec 2025811.00MERIDIAN HEALTH PLANCARC 26 · ELIGIBILITY811.00
CLM00015879 May 2025626.00MERIDIAN HEALTH PLANNot denied—