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 B06M000011›MARCUS REYES

MARCUS REYES

Dependent on policy B06M000011

Claims
3
Attributed to this person
Charged
1,447.00
Total submitted
Denied
738.00
2 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
NameMARCUS REYES
Role on the policyDependent · relationship 01
PolicyB06M000011
Date of birth9 Jun 1973
PlanSILVER HMO
Covered from10 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000006520 Apr 2026342.00NORTHSTAR MUTUALCARC 109 · COB342.00
CLM000006422 Mar 2026396.00NORTHSTAR MUTUALCARC 96 · NON_COVERED396.00
CLM000006613 Feb 2025709.00NORTHSTAR MUTUALNot denied—