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 B08M000464›JULIA FOSTER

JULIA FOSTER

Dependent on policy B08M000464

Claims
2
Attributed to this person
Charged
1,172.00
Total submitted
Denied
248.31
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 FOSTER
Role on the policyDependent · relationship 19
PolicyB08M000464
Date of birth16 Mar 2016
PlanGOLD PPO
Covered from20 May 2024
Covered toopen

Patient responsibility reported on the 835

No patient responsibility reported on this person's remittances.

Care and denials

ClaimServiceChargedPayerOutcomeDenied
CLM000214031 Dec 2025521.00CASCADE CARENot denied—
CLM000213916 Jul 2024651.00CASCADE CARECARC 197 · AUTHORIZATION248.31