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 B07M000216›NADIA HUGHES

NADIA HUGHES

Subscriber on policy B07M000216

Claims
3
Attributed to this person
Charged
714.00
Total submitted
Denied
0.00
1 denied claims
Patient responsibility
57.20
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 HUGHES
Role on the policySubscriber
PolicyB07M000216
Date of birth29 Sep 1986
PlanGOLD PPO
Covered from31 Oct 2024
Covered toopen

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 96 · Other157.20
Total57.20

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000090618 Apr 202688.00CASCADE CARECARC 96 · NON_COVERED0.00
CLM000090820 Jan 2026446.00CASCADE CARENot denied—
CLM00009076 Jan 2026180.00CASCADE CARENot denied—