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 B07M000118›NADIA CHEN

NADIA CHEN

Dependent on policy B07M000118

Claims
3
Attributed to this person
Charged
1,802.00
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
NameNADIA CHEN
Role on the policyDependent · relationship 19
PolicyB07M000118
Date of birth13 Mar 1983
PlanPLATINUM PPO
Covered from21 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00004986 Jun 2026425.00NORTHSTAR MUTUALNot denied—
CLM000049717 Mar 2026838.00NORTHSTAR MUTUALNot denied—
CLM000049620 Nov 2025539.00NORTHSTAR MUTUALNot denied—