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 B06M000577›WENDY YAMADA

WENDY YAMADA

Dependent on policy B06M000577

Claims
3
Attributed to this person
Charged
1,756.00
Total submitted
Denied
159.00
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
NameWENDY YAMADA
Role on the policyDependent · relationship 01
PolicyB06M000577
Date of birth28 Jan 1995
PlanSILVER HMO
Covered from18 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00025876 Mar 2026863.00NORTHSTAR MUTUALNot denied—
CLM00025882 Feb 2026159.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY159.00
CLM000258613 Jul 2025734.00NORTHSTAR MUTUALNot denied—