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 B06M000231›MARCUS PATEL

MARCUS PATEL

Subscriber on policy B06M000231

Claims
1
Attributed to this person
Charged
473.00
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 PATEL
Role on the policySubscriber
PolicyB06M000231
Date of birth30 Nov 1950
PlanBRONZE EPO
Covered from24 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011027 Jun 2025473.00MERIDIAN HEALTH PLANNot denied—