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 B05M000433›AMARA WILSON

AMARA WILSON

Dependent on policy B05M000433

Claims
3
Attributed to this person
Charged
1,600.00
Total submitted
Denied
937.03
2 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
NameAMARA WILSON
Role on the policyDependent · relationship 19
PolicyB05M000433
Date of birth17 Oct 1991
PlanSILVER HMO
Covered from16 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000182626 Feb 2026520.00MERIDIAN HEALTH PLANNot denied—
CLM000182729 Dec 2025895.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY895.00
CLM000182528 Aug 2025185.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING42.03