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 B06M000095›MARCUS CHEN

MARCUS CHEN

Subscriber on policy B06M000095

Claims
3
Attributed to this person
Charged
1,909.00
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
NameMARCUS CHEN
Role on the policySubscriber
PolicyB06M000095
Date of birth20 Apr 1963
PlanPLATINUM PPO
Covered from20 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00004929 Dec 2025677.00MERIDIAN HEALTH PLANNot denied—
CLM00004907 Jul 2025611.00MERIDIAN HEALTH PLANNot denied—
CLM000049125 Apr 2025621.00MERIDIAN HEALTH PLANNot denied—