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 B01M000249›MARCUS MURPHY

MARCUS MURPHY

Subscriber on policy B01M000249

Claims
1
Attributed to this person
Charged
357.00
Total submitted
Denied
0.00
0 denied claims
Patient responsibility
53.55
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
NameMARCUS MURPHY
Role on the policySubscriber
PolicyB01M000249
Date of birth10 Jun 1976
PlanSILVER HMO
Covered from2 May 2025
Covered to10 Aug 2025

Patient responsibility reported on the 835

ReasonAdjustmentsAmount reported
CARC 1 · Deductible153.55
Total53.55

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000105628 Apr 2025357.00CASCADE CARENot denied—