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.

Remittances

Adjudicated 835 claims.

ClaimStatusChargedPaidDeniedPayer
CLM00000481518.00414.40—MERIDIAN HEALTH PLAN
CLM00000841218.00163.50—MERIDIAN HEALTH PLAN
CLM00009021719.00575.20—MERIDIAN HEALTH PLAN
CLM00011381307.00245.60—MERIDIAN HEALTH PLAN
CLM00015721671.00422.13248.87MERIDIAN HEALTH PLAN
CLM00016141302.00241.60—MERIDIAN HEALTH PLAN
CLM00018021396.00316.80—MERIDIAN HEALTH PLAN
CLM00024754683.000.00683.00MERIDIAN HEALTH PLAN
CLM00031791461.00368.80—MERIDIAN HEALTH PLAN
CLM00035174406.000.00406.00MERIDIAN HEALTH PLAN
CLM00038501187.00149.60—MERIDIAN HEALTH PLAN
CLM00038524292.000.00292.00MERIDIAN HEALTH PLAN
CLM00001811268.00214.40—MERIDIAN HEALTH PLAN
CLM00004391166.00132.80—MERIDIAN HEALTH PLAN
CLM00004581118.0066.0551.95MERIDIAN HEALTH PLAN
CLM00008124576.000.000.00MERIDIAN HEALTH PLAN
CLM00008441778.00622.40—MERIDIAN HEALTH PLAN
CLM00009071252.00201.60—MERIDIAN HEALTH PLAN
CLM00009101689.00551.20—MERIDIAN HEALTH PLAN
CLM00014541332.00265.60—MERIDIAN HEALTH PLAN
CLM00015154627.000.00627.00MERIDIAN HEALTH PLAN
CLM00018221219.00175.20—MERIDIAN HEALTH PLAN
CLM00019361147.00117.60—MERIDIAN HEALTH PLAN
CLM00026104437.000.00437.00MERIDIAN HEALTH PLAN
CLM00026311857.00685.60—MERIDIAN HEALTH PLAN
CLM00026581744.00726.9017.10MERIDIAN HEALTH PLAN
CLM00030074674.000.00674.00MERIDIAN HEALTH PLAN
CLM00031124459.000.00459.00MERIDIAN HEALTH PLAN
CLM00031171561.00448.80—MERIDIAN HEALTH PLAN
CLM00035704819.000.00819.00MERIDIAN HEALTH PLAN
CLM00035874393.000.00393.00MERIDIAN HEALTH PLAN
CLM00036201799.00639.20—MERIDIAN HEALTH PLAN
CLM00000501780.00624.00—MERIDIAN HEALTH PLAN
CLM00000644739.000.00739.00MERIDIAN HEALTH PLAN
CLM00007181623.00498.40—MERIDIAN HEALTH PLAN
CLM00016104314.000.00314.00MERIDIAN HEALTH PLAN
CLM00016331476.00380.80—MERIDIAN HEALTH PLAN
CLM00029114736.000.00736.00MERIDIAN HEALTH PLAN
CLM00030221125.00100.00—MERIDIAN HEALTH PLAN
CLM00035811289.00231.20—MERIDIAN HEALTH PLAN
CLM00038721766.00612.80—MERIDIAN HEALTH PLAN
CLM00002521432.00345.60—MERIDIAN HEALTH PLAN
CLM00003591863.00690.40—MERIDIAN HEALTH PLAN
CLM00013241853.00682.40—MERIDIAN HEALTH PLAN
CLM00016361884.00707.20—MERIDIAN HEALTH PLAN
CLM00018414524.000.00524.00MERIDIAN HEALTH PLAN
CLM00018991604.00483.20—MERIDIAN HEALTH PLAN
CLM00019261513.00410.40—MERIDIAN HEALTH PLAN
CLM00020631139.00111.20—MERIDIAN HEALTH PLAN
CLM00021031703.00562.40—MERIDIAN HEALTH PLAN