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 B08M000042›YUSUF FOSTER

YUSUF FOSTER

Subscriber on policy B08M000042

Claims
2
Attributed to this person
Charged
975.00
Total submitted
Denied
517.00
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
NameYUSUF FOSTER
Role on the policySubscriber
PolicyB08M000042
Date of birth5 Dec 1973
PlanPLATINUM PPO
Covered from26 Sep 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00001743 Jun 2025458.00NORTHSTAR MUTUALNot denied—
CLM000017321 Sep 2024517.00NORTHSTAR MUTUALCARC 26 · ELIGIBILITY517.00