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 B07M000418›DAVID QUINN

DAVID QUINN

Subscriber on policy B07M000418

Claims
2
Attributed to this person
Charged
299.00
Total submitted
Denied
186.00
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
NameDAVID QUINN
Role on the policySubscriber
PolicyB07M000418
Date of birth14 May 1953
PlanGOLD PPO
Covered from24 Jul 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00017593 Jan 2026113.00CASCADE CARENot denied—
CLM000176029 May 2025186.00CASCADE CARECARC 96 · NON_COVERED186.00