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 B05M000593›IVAN QUINN

IVAN QUINN

Dependent on policy B05M000593

Claims
2
Attributed to this person
Charged
787.00
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
NameIVAN QUINN
Role on the policyDependent · relationship 19
PolicyB05M000593
Date of birth4 Jun 1996
PlanPLATINUM PPO
Covered from21 Jun 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000254821 Aug 2026470.00MERIDIAN HEALTH PLANNot denied—
CLM000254912 Nov 2024317.00MERIDIAN HEALTH PLANNot denied—