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 B08M000260›JULIA WILSON

JULIA WILSON

Subscriber on policy B08M000260

Claims
1
Attributed to this person
Charged
760.00
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 WILSON
Role on the policySubscriber
PolicyB08M000260
Date of birth30 Jun 1962
PlanPLATINUM PPO
Covered from12 Apr 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000118311 Aug 2026760.00NORTHSTAR MUTUALNot denied—