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 B01M000125›HENRY HUGHES

HENRY HUGHES

Dependent on policy B01M000125

Claims
1
Attributed to this person
Charged
338.00
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
NameHENRY HUGHES
Role on the policyDependent · relationship 01
PolicyB01M000125
Date of birth15 Nov 2008
PlanPLATINUM PPO
Covered from15 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000048824 Apr 2026338.00MERIDIAN HEALTH PLANNot denied—