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 B01M000766›JULIA JOHNSON

JULIA JOHNSON

Dependent on policy B01M000766

Claims
3
Attributed to this person
Charged
1,317.00
Total submitted
Denied
0.00
0 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
NameJULIA JOHNSON
Role on the policyDependent · relationship 19
PolicyB01M000766
Date of birth1 Mar 1995
PlanSILVER HMO
Covered from21 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000341012 Apr 2026873.00NORTHSTAR MUTUALNot denied—
CLM000340928 Sep 202572.00NORTHSTAR MUTUALNot denied—
CLM00034112 Feb 2025372.00NORTHSTAR MUTUALNot denied—