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 B06M000707›KEVIN PATEL

KEVIN PATEL

Dependent on policy B06M000707

Claims
2
Attributed to this person
Charged
717.00
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
NameKEVIN PATEL
Role on the policyDependent · relationship 01
PolicyB06M000707
Date of birth19 Jul 1988
PlanBRONZE EPO
Covered from14 Oct 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00031533 Jul 2026172.00NORTHSTAR MUTUALNot denied—
CLM000315211 Jun 2025545.00NORTHSTAR MUTUALNot denied—