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 B07M000737›PRIYA HUGHES

PRIYA HUGHES

Subscriber on policy B07M000737

Claims
3
Attributed to this person
Charged
1,080.00
Total submitted
Denied
80.57
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
NamePRIYA HUGHES
Role on the policySubscriber
PolicyB07M000737
Date of birth30 Jan 1990
PlanGOLD PPO
Covered from20 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000304226 Jul 2026413.00NORTHSTAR MUTUALNot denied—
CLM000304323 Jun 2026182.00NORTHSTAR MUTUALCARC 197 · AUTHORIZATION80.57
CLM000304424 Feb 2026485.00NORTHSTAR MUTUALNot denied—