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 B08M000837›WENDY BAKER

WENDY BAKER

Dependent on policy B08M000837

Claims
3
Attributed to this person
Charged
1,758.00
Total submitted
Denied
240.00
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
NameWENDY BAKER
Role on the policyDependent · relationship 19
PolicyB08M000837
Date of birth11 Jul 2020
PlanGOLD PPO
Covered from29 Feb 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00037405 Feb 2026240.00NORTHSTAR MUTUALCARC 27 · ELIGIBILITY240.00
CLM000374110 Sep 2025728.00NORTHSTAR MUTUALNot denied—
CLM000374213 Mar 2024790.00NORTHSTAR MUTUALNot denied—