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 B01M000852›KEVIN KUMAR

KEVIN KUMAR

Subscriber on policy B01M000852

Claims
1
Attributed to this person
Charged
607.00
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
NameKEVIN KUMAR
Role on the policySubscriber
PolicyB01M000852
Date of birth17 Feb 1998
PlanPLATINUM PPO
Covered from11 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000377819 Apr 2025607.00NORTHSTAR MUTUALNot denied—