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 B07M000879›JULIA PATEL

JULIA PATEL

Dependent on policy B07M000879

Claims
1
Attributed to this person
Charged
194.00
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
NameJULIA PATEL
Role on the policyDependent · relationship 01
PolicyB07M000879
Date of birth1 Jun 1988
PlanBRONZE EPO
Covered from16 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000363711 Jul 2025194.00CASCADE CARENot denied—