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 B06M000249›VICTOR TANAKA

VICTOR TANAKA

Subscriber on policy B06M000249

Claims
1
Attributed to this person
Charged
632.00
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
NameVICTOR TANAKA
Role on the policySubscriber
PolicyB06M000249
Date of birth17 Nov 1951
PlanBRONZE EPO
Covered from20 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000118115 Nov 2025632.00MERIDIAN HEALTH PLANNot denied—