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.

UMA KUMAR

Dependent on policy B06M000262

Claims
2
Attributed to this person
Charged
1,660.00
Total submitted
Denied
994.40
2 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
NameUMA KUMAR
Role on the policyDependent · relationship 19
PolicyB06M000262
Date of birth28 Dec 2009
PlanBRONZE EPO
Covered from22 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00012468 Feb 2026818.00MERIDIAN HEALTH PLANCARC 11 · CODING818.00
CLM000124516 Sep 2025842.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY176.40