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
CLM00014191732.00585.60—MERIDIAN HEALTH PLAN
CLM00019191737.00589.60—MERIDIAN HEALTH PLAN
CLM00023131297.00207.90—MERIDIAN HEALTH PLAN
CLM00028711260.00208.00—MERIDIAN HEALTH PLAN
CLM00035611637.00509.60—MERIDIAN HEALTH PLAN
CLM00000471142.00113.60—MERIDIAN HEALTH PLAN
CLM00008271711.00568.80—MERIDIAN HEALTH PLAN
CLM00013111238.00190.40—MERIDIAN HEALTH PLAN
CLM00017454284.000.00284.00MERIDIAN HEALTH PLAN
CLM00029351790.00632.00—MERIDIAN HEALTH PLAN
CLM00030684818.000.00818.00MERIDIAN HEALTH PLAN
CLM00032164680.000.00680.00MERIDIAN HEALTH PLAN
CLM00036751224.00179.20—MERIDIAN HEALTH PLAN
CLM00000751312.00249.60—CASCADE CARE
CLM00002984583.000.00583.00CASCADE CARE
CLM00006254156.000.00156.00CASCADE CARE
CLM00008911550.00470.00—CASCADE CARE
CLM00009071492.00393.60—CASCADE CARE
CLM00012031858.00686.40—CASCADE CARE
CLM00012201854.00683.20—CASCADE CARE
CLM00012774528.000.00528.00CASCADE CARE
CLM00013271483.00386.40—CASCADE CARE
CLM00013394626.000.00626.00CASCADE CARE
CLM00014881480.00332.98147.02CASCADE CARE
CLM00016331467.00373.60—CASCADE CARE
CLM00019121519.00415.20—CASCADE CARE
CLM00019564560.000.00560.00CASCADE CARE
CLM00020451231.00184.80—CASCADE CARE
CLM00020731572.00457.60—CASCADE CARE
CLM00020821489.00468.9820.02CASCADE CARE
CLM00024924728.000.00728.00CASCADE CARE
CLM00026104648.000.00648.00CASCADE CARE
CLM00026231606.00484.80—CASCADE CARE
CLM00027881569.00455.20—CASCADE CARE
CLM00029954537.000.00537.00CASCADE CARE
CLM00030201533.00373.10—CASCADE CARE
CLM00030284236.000.00236.00CASCADE CARE
CLM00032631747.00597.60—CASCADE CARE
CLM00035021603.00476.09126.91CASCADE CARE
CLM00037124241.000.00241.00CASCADE CARE
CLM00038421496.00396.80—CASCADE CARE
CLM00038874169.000.00169.00CASCADE CARE
CLM00000021304.00243.20—CASCADE CARE
CLM00000061691.00512.51178.49CASCADE CARE
CLM00001501332.00265.60—CASCADE CARE
CLM00001841523.00418.40—CASCADE CARE
CLM00003184515.000.00515.00CASCADE CARE
CLM00003474236.000.00236.00CASCADE CARE
CLM00005261408.00326.40—CASCADE CARE
CLM0000965185.0058.0526.95CASCADE CARE