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 B06M000229›LEILA KUMAR

LEILA KUMAR

Subscriber on policy B06M000229

Claims
2
Attributed to this person
Charged
1,427.00
Total submitted
Denied
0.00
0 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
NameLEILA KUMAR
Role on the policySubscriber
PolicyB06M000229
Date of birth12 Jan 1984
PlanBRONZE EPO
Covered from15 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000109512 Aug 2026631.00NORTHSTAR MUTUALNot denied—
CLM000109614 Feb 2025796.00NORTHSTAR MUTUALNot denied—