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 B05M000513›SOFIA YAMADA

SOFIA YAMADA

Dependent on policy B05M000513

Claims
2
Attributed to this person
Charged
464.00
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
NameSOFIA YAMADA
Role on the policyDependent · relationship 19
PolicyB05M000513
Date of birth21 Jul 2015
PlanSILVER HMO
Covered from20 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000220922 Jan 2026126.00MERIDIAN HEALTH PLANNot denied—
CLM000221013 Jun 2025338.00MERIDIAN HEALTH PLANNot denied—