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.
Members›policy B10M000072

Policy B10M000072

4 people enrolled on this policy.

People
4
On this policy
Claims attributed
10
To a named person
Policy-level
0
Not attributed to a person

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.

People on this policy

NameRoleBornClaimsDenialsDeniedPatient responsibility (835)
NADIA ANDERSONSubscriber18 Dec 1998200.000.00
PRIYA ANDERSONDependent · 0110 Apr 2005200.000.00
YUSUF ANDERSONDependent · 1919 Jan 2017300.000.00
WENDY ANDERSONDependent · 1924 Jun 2019300.0078.40

Policy-level claims

Every claim on this policy is attributed to a named person.

Claims are attributed to a person from the patient loop of the 837P — name, date of birth and relationship within the policy — because the transaction carries no patient identifier. A claim that matches nobody, or more than one person, stays with the policy and is shown there rather than being assigned to a guess.