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 B08M000801›CARLA FOSTER

CARLA FOSTER

Dependent on policy B08M000801

Claims
3
Attributed to this person
Charged
1,865.00
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
NameCARLA FOSTER
Role on the policyDependent · relationship 19
PolicyB08M000801
Date of birth3 May 2022
PlanBRONZE EPO
Covered from6 Jan 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000357930 Jul 2026421.00NORTHSTAR MUTUALNot denied—
CLM00035787 Aug 2025551.00NORTHSTAR MUTUALNot denied—
CLM000358017 Mar 2025893.00NORTHSTAR MUTUALNot denied—