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
CLM00023834769.000.00769.00MERIDIAN HEALTH PLAN
CLM00024774582.000.00582.00MERIDIAN HEALTH PLAN
CLM00027364229.000.000.00MERIDIAN HEALTH PLAN
CLM00037801608.00486.40—MERIDIAN HEALTH PLAN
CLM00000081789.00631.20—MERIDIAN HEALTH PLAN
CLM00001371542.00406.50—MERIDIAN HEALTH PLAN
CLM00006114560.000.00560.00MERIDIAN HEALTH PLAN
CLM00009064452.000.00452.00MERIDIAN HEALTH PLAN
CLM00009571550.00440.00—MERIDIAN HEALTH PLAN
CLM0002195166.0046.20—MERIDIAN HEALTH PLAN
CLM00026411760.00608.00—MERIDIAN HEALTH PLAN
CLM00029511268.00214.40—MERIDIAN HEALTH PLAN
CLM00030981468.00374.40—MERIDIAN HEALTH PLAN
CLM00008461594.00509.60—MERIDIAN HEALTH PLAN
CLM00011931646.00516.80—MERIDIAN HEALTH PLAN
CLM00018021441.00352.80—MERIDIAN HEALTH PLAN
CLM00018714362.000.00362.00MERIDIAN HEALTH PLAN
CLM00019591734.00587.20—MERIDIAN HEALTH PLAN
CLM00020001646.00516.80—MERIDIAN HEALTH PLAN
CLM00024701452.00339.00—MERIDIAN HEALTH PLAN
CLM00027521394.00315.20—MERIDIAN HEALTH PLAN
CLM00029131190.00133.00—MERIDIAN HEALTH PLAN
CLM00032251404.00323.20—MERIDIAN HEALTH PLAN
CLM00037891479.00383.20—MERIDIAN HEALTH PLAN
CLM00000764290.000.00290.00MERIDIAN HEALTH PLAN
CLM00004511471.00344.17126.83MERIDIAN HEALTH PLAN
CLM00005561453.00303.96149.04MERIDIAN HEALTH PLAN
CLM00006011524.00419.20—MERIDIAN HEALTH PLAN
CLM00006471421.00336.80—MERIDIAN HEALTH PLAN
CLM00007081334.00267.20—MERIDIAN HEALTH PLAN
CLM00016011589.00471.20—MERIDIAN HEALTH PLAN
CLM00021251570.00456.00—MERIDIAN HEALTH PLAN
CLM00000311812.00649.60—MERIDIAN HEALTH PLAN
CLM00002064767.000.00767.00MERIDIAN HEALTH PLAN
CLM00004121575.00460.00—MERIDIAN HEALTH PLAN
CLM00004781234.00187.20—MERIDIAN HEALTH PLAN
CLM00006031880.00700.50179.50MERIDIAN HEALTH PLAN
CLM0000895170.0038.00—MERIDIAN HEALTH PLAN
CLM00011161129.00103.20—MERIDIAN HEALTH PLAN
CLM0002012486.000.0086.00MERIDIAN HEALTH PLAN
CLM00021021232.00185.60—MERIDIAN HEALTH PLAN
CLM00023181246.00238.227.78MERIDIAN HEALTH PLAN
CLM00024111535.00428.00—MERIDIAN HEALTH PLAN
CLM00039271728.00578.78149.22MERIDIAN HEALTH PLAN
CLM00000561774.00619.20—MERIDIAN HEALTH PLAN
CLM00000574852.000.00852.00MERIDIAN HEALTH PLAN
CLM00005201625.00500.00—MERIDIAN HEALTH PLAN
CLM00007654839.000.00839.00MERIDIAN HEALTH PLAN
CLM00009401324.00259.20—MERIDIAN HEALTH PLAN
CLM00013181897.00717.60—MERIDIAN HEALTH PLAN