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 B06M000024›UMA GARCIA

UMA GARCIA

Subscriber on policy B06M000024

Claims
3
Attributed to this person
Charged
2,195.00
Total submitted
Denied
1,402.00
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
NameUMA GARCIA
Role on the policySubscriber
PolicyB06M000024
Date of birth14 Dec 1988
PlanPLATINUM PPO
Covered from1 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000014830 Dec 2025793.00MERIDIAN HEALTH PLANNot denied—
CLM00001478 Aug 2025508.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION508.00
CLM000014912 Mar 2025894.00MERIDIAN HEALTH PLANCARC 11 · CODING894.00