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 B06M000069›NADIA NGUYEN

NADIA NGUYEN

Subscriber on policy B06M000069

Claims
2
Attributed to this person
Charged
1,252.00
Total submitted
Denied
172.54
1 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
NameNADIA NGUYEN
Role on the policySubscriber
PolicyB06M000069
Date of birth11 Jan 1979
PlanPLATINUM PPO
Covered from19 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00003652 Jan 2026844.00MERIDIAN HEALTH PLANNot denied—
CLM00003632 Jun 2025408.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION172.54