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 B07M000046›KEVIN ANDERSON

KEVIN ANDERSON

Dependent on policy B07M000046

Claims
2
Attributed to this person
Charged
873.00
Total submitted
Denied
316.00
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
NameKEVIN ANDERSON
Role on the policyDependent · relationship 19
PolicyB07M000046
Date of birth8 Jul 2011
PlanBRONZE EPO
Covered from5 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00002209 May 2026557.00CASCADE CARENot denied—
CLM000021915 Mar 2026316.00CASCADE CARECARC 27 · ELIGIBILITY316.00