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 B07M000548›LEILA MURPHY

LEILA MURPHY

Dependent on policy B07M000548

Claims
2
Attributed to this person
Charged
264.00
Total submitted
Denied
202.67
2 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
NameLEILA MURPHY
Role on the policyDependent · relationship 19
PolicyB07M000548
Date of birth22 Jun 2014
PlanBRONZE EPO
Covered from15 Jan 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00023273 May 2025121.00CASCADE CARECARC 27 · ELIGIBILITY59.67
CLM000232626 Jan 2024143.00CASCADE CARECARC 27 · ELIGIBILITY143.00