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 B07M000041›DAVID MURPHY

DAVID MURPHY

Subscriber on policy B07M000041

Claims
1
Attributed to this person
Charged
447.00
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
NameDAVID MURPHY
Role on the policySubscriber
PolicyB07M000041
Date of birth29 Jan 1985
PlanGOLD PPO
Covered from11 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000019229 Apr 2025447.00NORTHSTAR MUTUALNot denied—