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 B06M000462›PRIYA DIAZ

PRIYA DIAZ

Dependent on policy B06M000462

Claims
3
Attributed to this person
Charged
1,509.00
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
NamePRIYA DIAZ
Role on the policyDependent · relationship 19
PolicyB06M000462
Date of birth1 Jul 1976
PlanBRONZE EPO
Covered from9 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000209324 Mar 2026490.00MERIDIAN HEALTH PLANNot denied—
CLM000209221 Sep 2025815.00MERIDIAN HEALTH PLANNot denied—
CLM00020912 Apr 2025204.00MERIDIAN HEALTH PLANNot denied—