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 B01M000128›JULIA KUMAR

JULIA KUMAR

Subscriber on policy B01M000128

Claims
2
Attributed to this person
Charged
1,362.00
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
NameJULIA KUMAR
Role on the policySubscriber
PolicyB01M000128
Date of birth18 Sep 1985
PlanSILVER HMO
Covered from22 Apr 2024
Covered to16 Jan 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00005097 Sep 2024506.00MERIDIAN HEALTH PLANNot denied—
CLM00005109 Jun 2024856.00MERIDIAN HEALTH PLANNot denied—