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 B06M000228›AMARA YAMADA

AMARA YAMADA

Dependent on policy B06M000228

Claims
2
Attributed to this person
Charged
1,019.00
Total submitted
Denied
124.78
1 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
NameAMARA YAMADA
Role on the policyDependent · relationship 19
PolicyB06M000228
Date of birth7 May 2003
PlanSILVER HMO
Covered from9 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00010941 Feb 2026451.00NORTHSTAR MUTUALNot denied—
CLM000109325 Sep 2025568.00NORTHSTAR MUTUALCARC 11 · CODING124.78