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 B08M000251›SOFIA KUMAR

SOFIA KUMAR

Subscriber on policy B08M000251

Claims
3
Attributed to this person
Charged
1,421.00
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
NameSOFIA KUMAR
Role on the policySubscriber
PolicyB08M000251
Date of birth3 Jan 1976
PlanBRONZE EPO
Covered from13 Apr 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00011373 Sep 2025822.00NORTHSTAR MUTUALNot denied—
CLM000113814 Jul 202587.00NORTHSTAR MUTUALNot denied—
CLM000113917 Apr 2024512.00NORTHSTAR MUTUALNot denied—