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 B06M000349›LEILA VARGAS

LEILA VARGAS

Dependent on policy B06M000349

Claims
2
Attributed to this person
Charged
1,220.00
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
NameLEILA VARGAS
Role on the policyDependent · relationship 19
PolicyB06M000349
Date of birth12 Nov 2009
PlanPLATINUM PPO
Covered from27 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00015875 Jul 2026755.00MERIDIAN HEALTH PLANNot denied—
CLM00015882 Feb 2025465.00MERIDIAN HEALTH PLANNot denied—