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 B06M000172›ELENA CHEN

ELENA CHEN

Subscriber on policy B06M000172

Claims
3
Attributed to this person
Charged
1,125.00
Total submitted
Denied
325.00
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
NameELENA CHEN
Role on the policySubscriber
PolicyB06M000172
Date of birth29 Jul 1954
PlanPLATINUM PPO
Covered from7 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000084313 Jul 2026672.00MERIDIAN HEALTH PLANNot denied—
CLM000084225 Oct 2025325.00MERIDIAN HEALTH PLANCARC 197 · AUTHORIZATION325.00
CLM00008449 Oct 2025128.00MERIDIAN HEALTH PLANNot denied—