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 B06M000051›DAVID HUGHES

DAVID HUGHES

Subscriber on policy B06M000051

Claims
2
Attributed to this person
Charged
1,008.00
Total submitted
Denied
212.52
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
NameDAVID HUGHES
Role on the policySubscriber
PolicyB06M000051
Date of birth25 Sep 1954
PlanGOLD PPO
Covered from20 Nov 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000028127 Jun 2025114.00CASCADE CARENot denied—
CLM000028223 May 2025894.00CASCADE CARECARC 26 · ELIGIBILITY212.52