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 B06M000175›LEILA MURPHY

LEILA MURPHY

Dependent on policy B06M000175

Claims
1
Attributed to this person
Charged
583.00
Total submitted
Denied
145.96
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
NameLEILA MURPHY
Role on the policyDependent · relationship 01
PolicyB06M000175
Date of birth1 Jul 1963
PlanSILVER HMO
Covered from20 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000085413 Sep 2025583.00CASCADE CARECARC 16 · BILLING_ERROR145.96