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 B08M000669›KEVIN QUINN

KEVIN QUINN

Dependent on policy B08M000669

Claims
3
Attributed to this person
Charged
1,161.00
Total submitted
Denied
669.00
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
NameKEVIN QUINN
Role on the policyDependent · relationship 01
PolicyB08M000669
Date of birth14 Nov 1955
PlanPLATINUM PPO
Covered from26 Dec 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000301511 Jul 2026669.00NORTHSTAR MUTUALCARC 16 · BILLING_ERROR669.00
CLM000301622 Mar 2026106.00NORTHSTAR MUTUALNot denied—
CLM000301426 Jan 2025386.00NORTHSTAR MUTUALNot denied—