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 B08M000559›RAVI FOSTER

RAVI FOSTER

Dependent on policy B08M000559

Claims
3
Attributed to this person
Charged
1,619.00
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
NameRAVI FOSTER
Role on the policyDependent · relationship 01
PolicyB08M000559
Date of birth15 Aug 1985
PlanPLATINUM PPO
Covered from3 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00025461 Aug 2026396.00NORTHSTAR MUTUALNot denied—
CLM000254826 Mar 2026631.00NORTHSTAR MUTUALNot denied—
CLM000254718 Feb 2026592.00NORTHSTAR MUTUALNot denied—