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 B06M000179›MARCUS WILSON

MARCUS WILSON

Dependent on policy B06M000179

Claims
2
Attributed to this person
Charged
811.00
Total submitted
Denied
335.00
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
NameMARCUS WILSON
Role on the policyDependent · relationship 01
PolicyB06M000179
Date of birth13 Oct 1981
PlanGOLD PPO
Covered from29 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000087410 Aug 2025335.00CASCADE CARECARC 27 · ELIGIBILITY335.00
CLM000087520 Jul 2025476.00CASCADE CARENot denied—