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 B08M000210›JULIA QUINN

JULIA QUINN

Subscriber on policy B08M000210

Claims
2
Attributed to this person
Charged
1,612.00
Total submitted
Denied
784.00
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
NameJULIA QUINN
Role on the policySubscriber
PolicyB08M000210
Date of birth8 Jun 1997
PlanSILVER HMO
Covered from12 Sep 2024
Covered to20 Feb 2025

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM00009397 Apr 2025784.00CASCADE CARECARC 27 · ELIGIBILITY784.00
CLM00009389 Jan 2025828.00CASCADE CARENot denied—