DenialIntel

Demo Environment โ€” Synthetic Data OnlyThis application contains synthetic demonstration data only. Do not enter or submit patient information (PHI) or other sensitive personal information.
Members›policy B08M000176›IVAN NGUYEN

IVAN NGUYEN

Subscriber on policy B08M000176

Claims
1
Attributed to this person
Charged
767.00
Total submitted
Denied
767.00
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 โ€” 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
NameIVAN NGUYEN
Role on the policySubscriber
PolicyB08M000176
Date of birth22 Jul 1968
PlanSILVER HMO
Covered from7 May 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000078924 Jan 2026767.00CASCADE CARECARC 11 ยท CODING767.00