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 B01M000216›NADIA GARCIA

NADIA GARCIA

Dependent on policy B01M000216

Claims
3
Attributed to this person
Charged
1,778.00
Total submitted
Denied
166.31
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
NameNADIA GARCIA
Role on the policyDependent · relationship 19
PolicyB01M000216
Date of birth6 Sep 2005
PlanPLATINUM PPO
Covered from28 Mar 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00009259 Feb 2026530.00CASCADE CARENot denied—
CLM000092611 Jun 2025759.00CASCADE CARENot denied—
CLM000092411 May 2024489.00CASCADE CARECARC 16 · BILLING_ERROR166.31