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 B06M000206›DAVID BAKER

DAVID BAKER

Dependent on policy B06M000206

Claims
3
Attributed to this person
Charged
1,241.00
Total submitted
Denied
147.84
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 BAKER
Role on the policyDependent · relationship 01
PolicyB06M000206
Date of birth22 Jan 1966
PlanSILVER HMO
Covered from20 Aug 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000099725 Aug 2026179.00CASCADE CARENot denied—
CLM000099613 Oct 2025588.00CASCADE CARECARC 197 · AUTHORIZATION147.84
CLM000099522 Sep 2025474.00CASCADE CARENot denied—