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 B01M000011›FIONA CHEN

FIONA CHEN

Dependent on policy B01M000011

Claims
2
Attributed to this person
Charged
652.00
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
NameFIONA CHEN
Role on the policyDependent · relationship 19
PolicyB01M000011
Date of birth5 Apr 1998
PlanBRONZE EPO
Covered from29 Mar 2025
Covered to27 Oct 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000004110 Aug 2025439.00CASCADE CARENot denied—
CLM000004223 Jul 2025213.00CASCADE CARENot denied—