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 B06M000366›DAVID PATEL

DAVID PATEL

Dependent on policy B06M000366

Claims
3
Attributed to this person
Charged
1,397.00
Total submitted
Denied
1,155.00
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
NameDAVID PATEL
Role on the policyDependent · relationship 19
PolicyB06M000366
Date of birth29 Jan 2014
PlanBRONZE EPO
Covered from6 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000167125 Jul 2026242.00MERIDIAN HEALTH PLANNot denied—
CLM00016735 Nov 2025727.00MERIDIAN HEALTH PLANCARC 29 · TIMELY_FILING727.00
CLM000167219 May 2025428.00MERIDIAN HEALTH PLANCARC 27 · ELIGIBILITY428.00