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 B06M000036›JULIA USMAN

JULIA USMAN

Subscriber on policy B06M000036

Claims
3
Attributed to this person
Charged
1,399.00
Total submitted
Denied
1,123.00
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
NameJULIA USMAN
Role on the policySubscriber
PolicyB06M000036
Date of birth4 Jun 1998
PlanSILVER HMO
Covered from10 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000020527 Feb 2026276.00NORTHSTAR MUTUALNot denied—
CLM000020429 Dec 2025478.00NORTHSTAR MUTUALCARC 29 · TIMELY_FILING478.00
CLM000020314 Sep 2024645.00NORTHSTAR MUTUALCARC 197 · AUTHORIZATION645.00