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 B01M000162›RAVI BAKER

RAVI BAKER

Subscriber on policy B01M000162

Claims
3
Attributed to this person
Charged
1,727.00
Total submitted
Denied
327.61
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
NameRAVI BAKER
Role on the policySubscriber
PolicyB01M000162
Date of birth19 Aug 2001
PlanBRONZE EPO
Covered from18 Feb 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000069420 Jun 2026284.00CASCADE CARENot denied—
CLM000069528 Mar 2026777.00CASCADE CARENot denied—
CLM00006962 Dec 2025666.00CASCADE CARECARC 96 · NON_COVERED327.61