X12 Ingest & Denial Analytics

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 B01M000063›HENRY KUMAR

HENRY KUMAR

Dependent on policy B01M000063

Claims
3
Attributed to this person
Charged
2,101.00
Total submitted
Denied
661.00
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
NameHENRY KUMAR
Role on the policyDependent · relationship 19
PolicyB01M000063
Date of birth16 Mar 1985
PlanBRONZE EPO
Covered from3 Jun 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000027225 Jul 2026624.00CASCADE CARENot denied—
CLM000027016 Dec 2025661.00CASCADE CARECARC 27 · ELIGIBILITY661.00
CLM00002713 Nov 2025816.00CASCADE CARENot denied—