DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B06M000424›RAVI HUGHES

RAVI HUGHES

Subscriber on policy B06M000424

Claims
1
Attributed to this person
Charged
563.00
Total submitted
Denied
563.00
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 โ€” 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
NameRAVI HUGHES
Role on the policySubscriber
PolicyB06M000424
Date of birth20 Sep 1985
PlanSILVER HMO
Covered from28 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000194312 Apr 2025563.00CASCADE CARECARC 27 ยท ELIGIBILITY563.00