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 B08M000266›PRIYA WILSON

PRIYA WILSON

Dependent on policy B08M000266

Claims
2
Attributed to this person
Charged
815.00
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
NamePRIYA WILSON
Role on the policyDependent · relationship 19
PolicyB08M000266
Date of birth13 Dec 1975
PlanGOLD PPO
Covered from6 Mar 2025
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000121023 Dec 2025722.00CASCADE CARENot denied—
CLM000121111 May 202593.00CASCADE CARENot denied—