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 B06M000527›NADIA DIAZ

NADIA DIAZ

Subscriber on policy B06M000527

Claims
3
Attributed to this person
Charged
1,735.00
Total submitted
Denied
704.00
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
NameNADIA DIAZ
Role on the policySubscriber
PolicyB06M000527
Date of birth10 Nov 1958
PlanSILVER HMO
Covered from14 Aug 2024
Covered to10 Mar 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00023514 May 2025704.00CASCADE CARECARC 27 · ELIGIBILITY704.00
CLM000234927 Dec 2024672.00CASCADE CARENot denied—
CLM000235010 Oct 2024359.00CASCADE CARENot denied—